HomeMy WebLinkAbout181312 01/13/2010 17 47\ CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
w ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK AMOUNT: $1,615.00
FISHERS IN 46038 CHECK NUMBER: 181312
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 56016 15.00 AUTO REPAIR MAINTEN
2201 R4351000 21404 56016 1,000.00 PLOW
2201 R4351000 21412 56016 600.00 INSTALL PLOW
MID -STATE TRUCK EQUIPMENT ,4 i
Invoice
1'1020 Allisonville Road
Retail 001104675 -001 -0 '1 r, I Invoice Number:
56016
Fishers, IN 46038
1 ad -s{aCe #;trit r+ipm &r;i I nvoice Date:
4isdt.aiTM p,mi
Phone: 317.849.4903 i e -f
www.ynid- statetruck.com 12/28/2009
Fax 317.849.6441
Bill To Ship To
CARMEL STREET DEPARTMENT
3400 West 131 Street
Westfield, IN 46074
Handling charge added to Credit Customer P.O. No. Terms
t Card orders over $500.00: Visa
M/C 2 AMEX Discover- 3% #21 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
KE 12/28/2009 1/22/2010
Qty Item Code Description Price Ea. Extension
1 PARTSI I WESTERN UN1 -MOUNT KIT AND ADAPTER 850.00 850.00
1 PARTS 1 WESTERN: T/S HARNESS 350.00 350.00
1 labor hourly labor /installation fee, INSTALL NEW 400.00'' 400.00
WESTERN T /S, ULTRA MOUNT WITH
UNI -MOUNT KIT AND ADAPTER, INSTALL NEW
T/S WIRING LESS CONTROLLER
1 shop -001 miscellaneous shop supplies 15.00 15.00
WORK ORDER #61335
CHEV 2500 CLASSIC 2000 VIN;
1GCGK24R1YR169786
Serial
Serial Subtotal $1,615.00
Sales Tax (7.0 $0.00
Total Invoice Amount $1,615.00
Received by
Payment Received $0.00
Check# Authorization Code; Balance Due $1,615.00
Thank you for your business!
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid -State Truck Equipment
IN SUM OF$
J O AllisonviIIe Road
Fishers, IN 46038
$1,615.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT#/ AMOUNT Board Member
2201 56016 43- 510.00 $15.00 I hereby certify that the attached invoice(s), or
21412 56016 43- 510.00 $600.00
bill(s) is (are) true and correct and that the
21404 56016 43- 510.00 $1,000.00
materials or services itemized thereon for
which charge is made were ordered and
received except
.��Thursday(Jan i 07, 2010
UCWT-17 '.11-4//1
Street Commission
JLICCL 'L 11 Rti
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/28/09 56016 $15.00
12/28/09 56016 $600.00
12/28/09 56016 $1,000.00
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
20
Clerk- Treasurer