305227 11/14/16 �QQq..
4 CITY OF CARMEL, INDIANA VENDOR: 201250
® ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $*****5,030.63*
s ?a; CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 305227
9�i�oN..�o. FISHERS IN 46038 CHECK DATE: 11/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 91663 80.63 REPAIR PARTS
2201 4467099 91723 4,950.00 OTHER EQUIPMENT
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
MID STATE TRUCK EQUIP CORP ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
11020 ALLISONVILLE RD 1N SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
FISHERS, IN 46038 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$80.63 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Street Department Terms
Date Due
PO# ACCT# DATE, INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
91663 42-370.00 $80.63 1 hereby certify that the attached invoice(s),or 10/31/16 91663 $80.63
2201 201 2201 201
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, November 08,2016
Dave Huffman
Director
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
MID-STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road X
Retail#: 001104675-001-0 Invoice Number:
s
z
91663
Fishers, IN 46038 ` r ,
?didStacC 7r'uck Egirnpmcnc' Invoice Date:
Indanapats
Phone: 317.849.4903
Fax : 317.849.6441
www mid-statetruck.com 10/31/2016
Bill To Ship To
CARMEL STREET DEPARTMENT
3400 West 131 Street
WESTFIELD, IN 46074
.- - -- ---- _ ---- :ter---- - - - - - —— - - - - - �- --- --
Handlin_g charge added to Credit Customer P.O. No. Terms
Card orders over$500.00: 2.5%on
Visa, MIC,AMEX&Discover 56 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
CAM 10/31/2016 11/25/2016
Qty Item Code Description Price Ea. Extension
1 HYD01637 VALVE, CARTRIDGE LIFT & ANGLE 57.95 57.95
1 HYD01638 VALVE,ELECTRIC COIL (12V)- 22.68 22.68
Serial #
Serial #
Subtotal $80.63
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card r[ uth # Total Invoice Amount $80.63
Payment Received $0.00
Received by Date _$80.
Balance Due $80.63 }
Thank you for your business!
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
MID STATE TRUCK EQUIP CORP ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
11020 ALLISONVILLE RD IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
FISHERS, IN 46038 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$4,950.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Street Department Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoices)or bill(s)) AMOUNT
91723 44-670.99 $4,950.00 1 hereby certify that the attached invoice(s),or 11/2/16 91723 $4,950.00
2201 201 2201 201
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, November 08,2016
Dave Huffman
Director
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
MID-STATE TRUCK EQUIPMENT q a1F 9 +V,NttH '9 F 9t V 4?f
Invoice
+St11020 Allisonville Road Invoice Number:
Retail#: 001104675-001-0
Fishers, IN 46038 91723
Mtd-Scace.Truck Eq npotcnc
Invoice Date:
tnd;tuapotr
Phone: 317.849.4903
Fax : 317.849.6441
www.mid-statetruck.com 11/2/2016
Bill To Ship To
CARMEL STREET DEPARTMENT Dave Huffman
3400 West 131 Street 2016 F-350
WESTFIELD,IN 46074
Handling charge added to Credit Customer P.O. No. Terms
Card orders over$500.00: 2.5%on
Visa,MIC,AMEX&Discover NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
X cust. pick-up 10/18/2016 11/27/2016
Qty Item Code Description Price Ea. Extension
1 BOSS80SU... BOSS RT3 810" SUPER-DUTY SNOWPLOW WITH 4,875.00 4,875.00
SMARTHITCH2
1 .STB03167 BLADE CRATE,81STR BLD SUPER 0.00 0.00
1 STB 15020B BOSS Plow box STR RT3 SH2,W/LED 0.00: 0.00
1 STB15103 a BOSS STRAIGHT BLADE CONTROL KIT- 0.000.00
SmartTouch2
1 LTA09060B BOSS FORD SD '11+RT3 U/C 0.00 0.00
1 MSC04599 LIGHT ADAPTER,OLD CHEVY/DODGE/FORD 13 0.00, 0.00
PIN
1 MSC01565 BOSS RUBBER SNOW DEFLECTOR 0.00: 0.00
1 PLOWINST... SNOWPLOW INSTALLATION CHARGE 450.00 450.00
DISCOUNT MUNICIPAL CUSTOMER DISCOUNT -375.00 -375.00
PLOW S/N 276968
BLADE S/N BC187618
Serial #
Serial #
Subtotal $4,950.00
Cash [ ] Check [ l # Sales Tax (7.0%) $0.00
Credit Card [] Auth. # Total Invoice Amount $4,950.00
Payment Received $0.00
Received by Date
FBalance Due $4,950.00
Thank you for your business!