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HomeMy WebLinkAbout319389 12/05/17 €� CITY OF CARMEL, INDIANA VENDOR: 201250 G L .� d .{• ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $********75.60* CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 319389 9, _�oN Loi FISHERS IN 46038 CHECK DATE: 12/05/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 97162 75.60 REPAIR PARTS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 201250 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER MID STATE TRUCK EQUIP CORP IN SUM OF$ CITY OF CARMEL 11020 ALLISONVI LLE RD An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. FISHERS, IN 46038 Payee $75.60 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 97162 42-370.00 $75.60 1 hereby certify that the attached invoice(s),or 11/21/17 97162 $75.60 2201 2201 2201 2201 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, December 05,2017 Huffman, Dave Director 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 Inc. Invoice 11020 Allisonville Rd Invoice Number: Fishers, IN 46038 97162 Invoice Date: Phone: 317-849-4903 Fax : 317-849-6441 www.mid-statetruck.com 11/21/2017 Bill TO Ship To CARMEL STREET DEPARTMENT 3400 West 131 Street 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 TRUCK 57 NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date AV 11/21/2017 12/16/2017 Qty ' Item Code Description Price Ea. Extension 2 HYD07030 VALVE COIL FOR EYD7029 37.80 75.60 Serial # Serial # Subtotal $75.60 Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00 Credit Card [ ]rAaft # r Total Invoice Amount $75.60 Payment Received $0.00 Received b � � r Date �' � balance Due $75.60 Thank you for your business!