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!