HomeMy WebLinkAbout333150 12/11/18 4y u!..C�q�,�
c/ �� CITY OF CARMEL, INDIANA VENDOR: 201250
js 31• ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: S*****1,027.00*
?�: CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 333150
.y,��oN.,�, FISHERS IN 46038 CHECK DATE: 12/11/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 102747 1,027.00 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 201250 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
I
MID STATE TRUCK EQUIP CORP N SUM OF$ CITY OF CARMEL
11020 ALLISONVILLE 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
$1,027.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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
102747 42-370.00 $1,027.00 1 hereby certify that the attached invoice(s),or 11/29/18 102747 Repair Parts $1,027.00
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
Tuesday, December 04,2018
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 102747
Invoice Date:
Phone: 317-849-4903
www.mid-statetruck.com 11/29/2018
Fax : 317-849-6441
Bill To Ship To
CARMEL STREET DEPARTMENT Dave
3400 W. 131 ST STREET
WESTFIELD,IN 46074
Handling 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
X cust.pick-up 12/24/2018
Qty Item Code Description Price Ea.. Extension
2 STB09236 BOSS 91X81X1.5' flipable urethane 505.00 1,010.00
cutting edge kit
1 HDW02049 FASTENER KIT,URETHANE EDGE 17.06 17.00
1-1/2'THK,STB
Serial #
Serial #
Subtotal $1,027.00
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [] Auth. # Total Invoice Amount $1,027.00
Payment Received $0.00
Received by Date
Balance Due $1,027.00
Thank you for your business!