321094 01/25/18 �4q,f CITY OF CARMEL, INDIANA VENDOR: 201250
e ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $*******749.00*
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 321094
c FISHERS IN 46038 CHECK DATE: 01/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 R4232100 50562 97158 749.00 UNIT #3174 TOOL BOX
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 201250 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Mid State Truck Equipment, Inc. Payee
11020 Allisonville Rd
Fishers, IN 46038 In Sum of$ Purchase Order#
201250 Mid State Truck Equipment, Inc. Terms
$ 749.00 11020 Alllsonvllle Rd Date Due
Fishers, IN 46038
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
po#ornvolce Description
Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
50562 F 97158 4232100 $ 749.00 Board Members 11/21/17 97158 Truck Tool Box for Unit#3174 50562 $ 749.00
I hereby certify that the attached invoice(s),or
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
$ 749.00 Total $ 749.00
Jr1h l9, as
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and 1 have audited same in accordance
( /nA with IC 6-11-10-1.6
Cost distribution ledger classification if JJ.aJe� fi't�
claim paid motor vehicle highway fund Signature _,20—
Accounts
20Accounts Payable Coordinator Clerk-Treasurer
Title
Mid-State Truck Equipment Inc [invoice.t
11020 Allisonuille Rd Invoice Number: . "
Fishers, IN 46038
7158
Invoice Cate: .
Phone: 317-849-4903
www.mid.-statefruck.com
1 / /2017
Fax:: 317-849-6441.
$111 TO: Ship To
CARMEL.CLAY PARKS &RECREATION . NEIL
1411 E. 1:16TH STREET .317-750.8190-
JAN 46032 : ;1 AN 1 8.201.E.
BY:. .
Handling charde added to.Credit ustomer P.O: No: Terms
Card orders over$500.00: Z5/on
Visa:MIC,AMEX&Discover 50562 NET 25 Days.
Sales:Rep ID Shipping Method.. Ship=Date Due Date
MRR
oust.pick-up 11/14/2017 12/16%2017;
Oty .Item Code Description Price Ea.. .Extension:
1 127-0-02 WEATHER GUARD ALUMINUM SADDLE BOX. 815:00 8:15.00
-DISCOUNT MUNICIPALDISCOUNT. 66.00 -60.00
Serial#:
Serial#.
Su .
bfotal $749 OQ
Cash: [ ] Check
[ j :# .. - Sales Tax (7.0%).
Credit Card [] Auth. #
Total Invoice Amount $749 OQ.
Payment-Received. $0:0.0
Received by Date.
Balance Due : ��49:00
Thankyou for your business:!.