HomeMy WebLinkAbout334240 01/04/19 y u._C�q*
CITY OF CARMEL, INDIANA VENDOR: 201250
® I• ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $*******340.00*
:9 �_�; CARMEL, INDIANA 46032 11020 ALusoNVILLE RD CHECK NUMBER: 334240
.y��TON� FISHERS IN 46038 CHECK DATE: 01/04/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4232100 52155 102936 340.00 SNOW PLOW CUTTING EDG
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 201250 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Mid State Truck Equipment, Inc. Payee
11020 Allisonville Rd
Fishers, IN 46038 In Sum of$ Purchase Order#
201250 Mid State Truck Equipment, Inc. Terms
$ 340.00 11020 Allisonville Rd Date Due
Fishers, IN 46038
ON ACCOUNT OF APPROPRIATION FOR
101-General Fund
PO#ornvoice Description
Dept# INVOICE NO. ACCT#!TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
Poly Snow Plow Cutting Edges for Kubota
52155 F 102936 4232100 $ 340.00 Board Members 12/7/18 102936 UTV Plow 52155 $ 340.00
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
$ 340.00 Total $ 340.00
January 2,2019
1 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 Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
Micf State Fruck-Equipent Inc. Invoice
'F1�020FAIlisonv�lle¢13d -� Inyoi_cgNumber:
Fishers, IN,46038
1 X102936
=� �_a
lnvoice,D,'at
Phone: 317-849-4903 " '
Fax : 317-849-6441
www.mid-statetruck.com
Bill TO Ship To
CARMEL CLAY PARKS &RECREATION NEIL
1411 E. 116TH STREET 317.750.8190
Carmel, IN 46032
Handling charge added to Credit Customer P.O. No. Terms
Card orders over$500.00: 2.5% on
Visa,MIC,AMEX&Discover 52155 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
MRR 12/7/2018 1/1/2019
Qty Item Code Description Price Ea. Extension
1 BAL13104 CUTTINGEDGE 170.00 170.00
KIT,P0LY,DR,6'6"V,RT3
1 BAR13204 CUTTINGEDGE 170.00 170.00
KIT,P0LY,PS,6'6"V,RT3
Serial #
Serial #
Subtotal $340.00
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [ ] Auth. # Total Invoice Amount $340.00
Payment Received $0.00
Received by Date Balance Due yr3Z $340 00
Thank you for your business!