HomeMy WebLinkAbout319153 11/30/17 CSN
CITY OF CARMEL, INDIANA VENDOR: 201250
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $********96.00*
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 319153
FISHERS IN 46038 CHECK DATE: 11/30/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 97101 96.00 OTHER EXPENSES
Voucher # 173451 Warrant # Prescribed by State Board of Account City Form No.201(Rev 1995)
ALLOWED 20
201250 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
MID STATE TRUCK EQUIP CORP CITY OF CARMEL
11020 ALLISONVILLE RD An invoice or bill to be properly itemized must show, kind of service,where
FISHERS, IN 46038 performed, dates of services rendered, by whom, rates per day, number of units
price per unit, itc.
Payee
Carmel Water Utility 201250 Purchase Order
No.
ON ACCOUNT OF APPROPRIATION FOR MID STATE TRUCK EQUIP CORP Terms
11020 ALLISONVILLE RD Due Date
Board Due Date
Members
FISHERS, IN 46038
Description
Audit Trail INVOICE (or note attached invoice(s) or
PO # INV# ACCT# AMOUNT Code DATE INVOICE NUMBER bill(s)) AMOUNT
97101 01-6500-04 $96.00 11/22/2017 97101 $96.00
Voucher Total $96.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
Date Officer
Mid-State Truck Equipment Inc. Invoice
11020 Allisonville Rd Invoice Number:'
Fishers, IN 46038 97101
Invoice Date:
Phone: 317-849-4903
Fax : 317-849-6441
www.mid-statetruck.com 11/17/2017
Bill TO Ship To
CARMEL WATER DISTRIBUTION
3450 W. 131 st St.
Westfield, IN 46074-8267
Handling charge added to Credit Customer P.O. No. Terms
Card orders over$500.00: 2.5%on
Visa. MIC,AMEX 8 Discover JAI 11717B NET 25 Days
Sales Rep ID Shipping Method Ship Date j Due Date
AV 12/12/2017
Description v _._ 2_ Price Ea t Ektension
1 MSC04753 CONNECTOR PIG TAIL, 13 PIN,VEH SIDE 48.0011 48.00 -
1 MSC047S4 CONNECTOR PIG'TAIL, 13 PIN;PLOW'SIDE :. 48.OQ
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Subtotal $96.00
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [ ] Auth. # Total Invoice Amount $96.00
Payment Received $0.00
Received byA2L-C4>,e,"D 394, Date 111-;2/j?
Balance Due $96.00
Thank you for your business!