181619 01/20/2010 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
1 I ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP
V4' i? CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK AMOUNT: $784.24
-4, a FISHERS IN 46038 CHECK NUMBER: 181619
CHECK DATE: 1/20/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 56264 171.48 REPAIR PARTS
601 5023990 56312 23.00 TRANSPORTATION EXPENS
2201 4237000 56364 509.96 REPAIR PARTS
601 5023990 56412 79.80 TRANSPORTATION EXPENS
MID-STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road Invoice Number:
t '6r
Retail#: 001104675-001-0 05 5 56264
Fishers, IN 46038 ,a2,5 4 i„,4j, I
10 ck Ipnr Invoice Date:
groctrAropOir.
Phone: 317.849.4903
Fax 317.849.6441 www.mid-statetruck.com 1/6/2010
Bill To Ship To
CARMEL STREET DEPARTMENT
3400 West 131 Street
Westfield, IN 46074
Handling charge added to Credit Customer P.O. No. Terms
rard-orders
2%, AMEX Discover- 3% J NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
TMB P 1/6/2010 1/31/2010
Qty Item Code Description Price Ea. I Extension
6 MSC11106 08+ LIGHT BULB 28.58 171.48
Serial
Serial Subtotal $171.48
Sales Tax (7.0%) $0.00
Total-Invoice Amount $171.48
Received by
Payment Received $0.00
Check# Authorization Code: Balance Due $171.48
Thank you for your business!
MID -STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road
�3LL j Number:
Retail 001104675 -001 -0 f
Fishers, IN 46038 56364
Mid-SC; cc Truck Invoice Date:
Phone: 317.849.4903
www.mid- statetruck.com 1/7/2010
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
Card orders_over_ $500.40 _Visa __Y
M/C 2l AMEX Discover 3% SHOP NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
TMB P 1/7/2010 2/1/2010
Qty Item Code Description Price Ea. Extension
4 I PARTS 1 WESTERN CYLINDER 120.00 j 480.00
4 HYD01620 FIT,90DEG SWVL,3 /8 "MORx1 /4 "FPS 7.49 29.96
I i
I I
I I
I k
l
Serial
Serial Subtotal $509.96
Sales Tax (7.0 $0.00
Received by Total Invoice Amount $509.96
Payment Received $0.00
Check# Authorization Code: Balance Due 5509.96
Thank you for your business!
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid -State Truck Equipment
IN SUM OF
11020 Allisonville Road
Fishers, IN 46038
$681.44
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 56264 42 370.00 $171.48 I hereby certify that the attached invoice(s), or
2201 56364 42 370.00 $509.96
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
Thursday, January 14, 2010
1
�J,' Q i r r r/I
Street Commissioner
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))
01/06/10 56264 $171.48
01/07/10 56364 $509.96
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
MID -STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road Invoice Number:
Retai I 001104675 -001 -0 r F 56312
Fishers, IN 46038
Mod -SCAC Tetoc€c Eg enc Invoice Date:
ia�FZs.e�+c
Phone: 317.849.4903 x w
www.mid-statetruck.com 1/7/2010
Fax 317.849.6441
Bill To Ship To
CARMEL WATER DISTRIBUTION
3450 W. 131st St.
Westfield, IN 46074 -8267
Handling charge added to Credit Customer P.Q. No.
Card orders over $500.00: Visa
M/C 2 AMEX Discover- 3% f NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
TMB P 1/7/2010 2/1/2010
Qty Item Code Description Price Ea. Extension
1 MSC09616 CONTROL PAD V 23.00 23.00
RECEIVED BY
D A T E 7- k)
PQ#
ACCT C5 ~0,
USE J r'c t/6u, c.v, irr /e
Serial
Serial Subtotal $23.00
Sales Tax (7.0 $0.00
Total Invoice Amount $23.00
Received by
Payment Received $0.00
Check# Authorization Code: Balance Due $23.00
Thank you for your business!
MID -STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road 74 Invoice Number:
Retail 001104675 -001 -0 Ts. 56412
Fishers, IN 46038
M d-St xt r >Trguck 5gtoiptlienc Invoice Date:
Phone: 317.849.4903
www.mid-statetruck.com 1/8/2010
Fax 317.849.6441
Bill To Ship To
CARMEL UTILITIES
3450 W 131ST. ST
Westfield, IN 46074 -8267
Handling charge added to Credit Customer P.O. No Terms
Card orders over $500.00: Visa
M/C 2!, AMEX &Discover 3% NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
DM 1/8/2010 2/2/2010
Qty Item Code Description Price Ea. Extension
4 PARTS I MARKERS 19.95 79.80
Serial (e 5°- V
Subtotal $79.80
Serial
Sales Tax (7.0 $0.00
Total Invoice Amount $79.80
Received by
Payment Received $0.00
Check# Authorization Code: Balance Due $79.80
Thank you for your business!
VOUCHER 094100 WARRANT ALLOWED
201250 IN SUM OF
MO STATE TRUCK EQUIP CORP
11020 ALLISONVILLE RD
FISHERS, IN 46038 A
k C9
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
56312 01- 6500 -04 $23.00
5 k1 'r Ste( -r,Q)
Voucher Total
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
201250
MID STATE TRUCK EQUIP CORP Purchase Order No.
11020 ALLISONVILLE RD Terms
FISHERS, IN 46038 Due Date 1/11/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/11 /2010 56312 $23.00
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
/1 4,49 C_„ 4
Date Officer