HomeMy WebLinkAbout319519 12/12/17 u .44q"'-
a" CITY OF CARMEL, INDIANA VENDOR: 201250
6 ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $********90.00*
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 319519
FISHERS IN 46038 CHECK DATE: 12/12/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4238000 97349 90.00 SMALL TOOLS & MINOR E
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 201250 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
MID STATE TRUCK EQUIP CORP IN SUM OF$ 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
$90.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Dept of Community Service 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
97349 42-380.00 $90.00 1 hereby certify that the attached invoice(s),or 12/5/17 97349 2 lights for F450 Urban Forestry Truck-Speth $90.00
1192 101 1192 101
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
Thursday, December 07, 2017
Mike Hollibaugh
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
20Cost distribution I :lassification if claim paid motor vehicle highway fund. Clerk-Tres
Mid-State Truck Equipment Inc.
Invoice-!
11020 Allisonville Rd Invoice Number:
Fishers, IN 46038 97349
Invoice Date:
Phone: 317-849-4903
Fax : 317-849-6441
www.mid-statetruck.com 12/5/2017
BIII To Ship To
CITY OF CARMEL Nichole Speth
ONE CIVIC SQUARE Ford F-450
CARMEL, IN 46032
Handlina charge added to Credit Customer P.O. No. Terms
Card orders over$500.00: 2.5% on
Visa.MC,AMEX&Discover NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
X 12/5/2017 12/30/2017
�'Qty -Item Code -Description .,.Price Ea. Extension
2 3920A ECCO GROMMET MOUNT AMBER OVAL LIGHT 45.00 90.00
DEPARTMENT OF COM SERV
Serial #
Serial#
Subtotal $90.00
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [] Auth. # Total Invoice Amount $90.00
Payment Received $0.00
Received by Date Balance Due $90.00
Thank you for your business!