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330799 10/09/18 0�/ ,e CITY OF CARMEL, INDIANA VENDOR: 201250 1= ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $*****1,575.00* ,>. r,. CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 330799 +y,��oN��' FISHERS IN 46038 CHECK DATE: 10/09/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 101500 1,575.00 OTHER EXPENSES VOUCHER NO. 182872 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 201250 IN SUM OF$ 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 performed, FISHERS, IN 46038 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit,etc. Payee $1,575.00 201250 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR MID STATE TRUCK EQUIP CORP Terms Carmel Water Utility 11020 ALLISONVILLE RD Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), FISHERS, IN 46038 PO# ACCT# or bill(s)is(are)true and correct and that the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 101500 01-6200-04 $1,575.00 and received except 9/26/2018 101500 $1,575.00 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. 2Q— Clerk-Treasurer Mid-State Truck Equipment Inc. a a � Invoice 11020 Allisonville Rd Invoice Number: Fishers, IN 46038 101500 Phone: 317-849-4903 Invoice Date: Fax : 317-849-6441 www.mid-statetruck.com 9/20/2018 Bill To Ship To CARMEL WATER DISTRIBUTION JOHN 3450 W. 131st 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&Discover JM010818 NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date MRR cust. pick-up 9/20/2018 10/15/2018 Qty Item Code Description Price Ea. Extension MUNI ****THIS IS A MUNICIPAL SALE AND HAS BEEN 0.00 0.00 PRICED ACCORDINGLY**** TGS06000' BOSS TAILGATE SPREADER 6 CF L�l ���{���2 1,575.00 1,575.00 �l TGS06088 CONTROL KIT, TGS 300/600/1100 0.00 0.00 `�/ 1 TGS 11081 RT3 ATTACHMENT,TGS600/800/1100,18+ 0.00 0.00 Serial # Serial # Subtotal $1,575.00 Cash [ .] Check [ ] # Sales Tax„(7.0%0) $0.0.0 C Card [ ] Auth. # Total Invoice Amount $1,575.00 Payment Received $0.00 Received by MWL"--Date ����- r� Balance Due $1,575.00 Thank you for your business! Mid-State Truck Equipment Inc. Invoice 11020 Allisonville Rd Invoice Number: Fishers, IN 46038 101500 Invoice Date: Phone: 317-849-4903 Fax : 317-849-6441 www.mid-statetruck.com 9/20/2018 Bill To Ship To CARMEL WATER DISTRIBUTION JOHN 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 B Discover JM010818 NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date MRR cust. pick-up 9/20/2018 10/15/2018 Qty Item Code Description Price Ea. Extension MUNI ****THIS IS A MUNICIPAL SALE AND HAS BEEN 0.00 0.00 PRICED ACCORDINGLY**** 1 TGS06000 BOSS TAILGATE SPREADER 6 CF 1,575.00 1,575.00 1 TGS06088 CONTROL KIT, TGS 300/600/1100 0.00 0.00 1 TGS11081 RT3 ATTACHMENT,TGS600/800/1100,18+ 0.00 0.00 ReceiveA : Date : -20- Ii PO # : ,J-M Dl ogle ACCT # : X2-0' '� Use : 14 Serial # Serial # Subtotal $1,575.00 Cash [ ] Check [ ] # - Sales Tax (7.0%) $0.00 Credit Card [ ] Auth. # Total Invoice Amount $1,575.00 Payment Received $0.00 Received by Date Balance Due $1,575.00 Thank you for your business!