334624 01/18/19 CITY OF CARMEL, INDIANA VENDOR: 201250
.j; �• ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP
CHECK AMOUNT: $*****2,015.00*
Q CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 334624
FISHERS IN 46038 CHECK DATE: 01/18/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 103232 1,510.00 OTHER EXPENSES
2201 4237000 103244 505.00 REPAIR PARTS
i
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 201250 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
MID STATE TRUCK EQUIP CORP IN SUM OF$ CITY OF CARMEL
11020 ALLISONVI LLE 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
_ $505.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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
103244 42-370.00 $505.00 1 hereby certify that the attached invoice(s),or 1/7/19 103244 Repair Parts $505.00
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, January 08,2019
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 j
11020 Allisonville Rd Invoice Number:
Fishers, IN 46038 103244
Invoice Date:
Phone: 317-849-4903
Fax : 317-849-6441
www.mid-statetruck.com 1/7/2019
Bill To Ship To
CARMEL STREET DEPARTMENT Dave
3400 W. 131 ST STREET
WESTFIELD, IN 46074
Handlina charge added to Credit Customer P.O. No. Terms
Card orders over$500.00: 2.5%on
Visa, M/C,AMEX&Discover NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
JK cust.pick-up 2/1/2019
Qty, .`Item Code Description' Price Ea. Extension
1 STB09236 BOSS 91X81X1.5' tlipable urethane 505.00 505.00
cutting edge Idt
I
I
Serial #
Serial #
Subtotal $505.00
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [] Auth. # Total Invoice Amount $505.00
Payment Received $0.00
Received by Date
Balance Due $505.00
Thank you for your business!
Packing List " SS
Item : STB09236 SNOWPLOW.
Desc : KIT-URETHANE EDGE
[9 . OFTX8X1 . 5 , STB]
Rev : A
Item Description Qty
7,,:-HDW02049 1ASTENER,KIT,URETHANE EDGE 1
.HDW01729 WASHER,1/2,F436 HARD,F/W,YZN 10
HDW02767 BOLT,CARRIAGE,1/2-13X3-1/2GRS,BLACK 10
zwQ05597 NUT,1/2-13,TOP L/N,GRB,CADWAX,YZN 10
C09302 MANUAL-URETHANE EDGE KIT, STB
1
��STB08923-03 STRAP,CUTTINGEDGE,POLY, 9 . 0,RT3,ST
1
ZstB09227 CUTTING 1
EDGE,URETHANE, 9 X8X1-1/2, ST
Printed: Friday September 30, 2016 1 of 1
Z BOM PACKLIST SYSTEM- PC1 - 010 CREATED BY: SROWNJA
VOUCHER NO. 187213 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 201250 IN SUM OF$ 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
$1,510.00 201250 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR MID STATE TRUCK EQUIP CORP Terms
Carmel Wasterwater Utility 11020 ALLISONVILLE RD Due Date
BOARD MEMBERS
I hereby certify that that attached invoice FISHERS,IN 46038
(s),
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)-or bill(s)) AMOUNT
103232 01-7500-02 $1,510.00 and received except 1/10/2019 103232 $1,510.00
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. 20_
Clerk-Treasurer
Mid-State Truck Equipment Inc. InVOice
11020 Allisonville Rd Invoice Number:
Fishers, IN 46038 103232
Invoice Date:
Phone: 317-849-4903
Fax : 317-849-6441
www mid-statetruck.com 1/4/2019
Bill To Ship To
CARMEL UTILITIES Jeff Cooper
9609 HAZEL DELL PKWY 2019 F-250
INDIANAPOLIS, IN 46280 vin# 1FTBF2136SKEC41093
Handling charge added to Credit Customer P.O. No. Terms
Card orders over$500.00: 2.5%on
Visa. M/C.AMEX&Discover S 19219 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
JK cust.pick-up 12/20/2018 1/29/2019
Qty Item'Code Description Price Ea. Extension
1 127-5-02 WEATHERGUARD FULL-SIZE 725.00 725.00
STANDARD BOX; BLACK
ALUMINUM
1 PARTS1 Owens,products plasttc running board 440:00 440.00
1 PARTS 1 Husky liner rear poly molded mud flaps 45.00 45.00
--Without fender flares
3 LABOR Install tool box 100.00 . 300.00
Install running boards
Install mud flaps
Received by
Date: 1-v0 �-� PO #: S1 'air►
cct #:
USe:
Serial #
Serial #
Subtotal $1,510.00
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [] Auth. # Total Invoice Amount $1,510.00
Payment Received $0.00
Received by Date
Balance Due $1,510.00
Thank you for your business!