HomeMy WebLinkAbout320747 01/11/18 CITY OF CARMEL, INDIANA VENDOR: 201250 CHECK AMOUNT: $*******466.59*
`• ' ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 320747
FISHERS IN 46038 CHECK DATE: 01/11/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 98069 466.59 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 201250
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MID STATE TRUCK EQUIP CORP N SUM OF$ 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
$466.59
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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
98069 42-370.00 $466.59 1 hereby certify that the attached invoice(s),or 1/2/18 98069 $466.59
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
Monday,January 08,2018
Huffman, Dave
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 Inc. ' Invoice :
11020 Allisonville Rd Invoice Number:
Fishers, IN 46038 98069
Invoice Date:
Phone: 317-849-4903
Fax : 317-849-6441
www.mid-statetruck.com 1/2/2018
Bill TO Ship To
CARMEL STREET DEPARTMENT Jim bentley
3400 West 131 Street
WESTFIELD, IN 46074
Handlina 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
JK_---- - --- ----- cust. pick-up ------ _---�— 1/2/2018 '--- 1/27/2018
Qty's .Item Code i Description ! Price Ea Extension
6 MSC04753 !CONNECTOR PIG TAIL, 13 PIN,VEH SIDE 48.001 288.00
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3"I MSC04754 CONNECTOR PIGTAIL, I3 PIN,PLOW SIDE 48.00!` 144.00
1 IMSC05120 TERMINAL CLEANER 13 PIN 34.59 34.59
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Serial #
Serial #
Subtotal $466.59
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [ ] Auth. # Total Invoice Amount $466.59
Payment Received $0.00
Received by Date
Balance Due $466.59
Thank you for your business!