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Home My WebLink About182457 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1 ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $1,859.00 CARMEL, INDIANA 46032 11020 ALLISONVILLE RD t. FISHERS IN 46038 CHECK NUMBER: 182457 CHECK DATE: 2/1712010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 56776 189.00 DUAL AIR HORNS 1120 4351000 56863 1,670.00 TRUCK EQUIPMENT MID -STATE TRUCK EQUIPMENT Invoice 19020 Allisonville Road vw� Invoice Number: Retail 001'104675 -001 -0 56863 Fishers, IN 46038 r�,�a- sc:cc7r�a,r q�ep�c�; Invoice Date: Phone: 317.849.4903 Fax 317.849.6441 www.mid- statetruck.com 2/4/2010 Bill To Ship To CARMEL FIRE DEPARTMENT 2009 F -250 SHORT BED 2 Civic Square BOB CELL- 664 -0958 Carmel, IN 46032 Handling charge added to Credit Customer P.O. No. Terms ��fSM Qc MX 2 AMEX Discover 3% BOB NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date ME cust. pick -up 2/4/2010 3/1/2010 Qty Item Code Description Price Ea. Extension 1 GORILLA 4 49" X 5" X 74.5" 20001b. GORILLA SLIDE ALL 1,175.00 1,175.00 ALUMINUM 1 freight freight /shipping /handling 250.00 250.00 1 labor hourly labor /installation fee 150.00 150.00 1 f PARTS 1 RUBBER BED MAT 95.00 95.00 E I 1 I I I I i i 1_...._.—.'-- Serial Seriai Subtotal $1,670.00 Sales Tax (7.0 $0.00 Received by Total Invoice. Amount $1,670.00 Payment Received $0.00 Check# /Authorization Code Balance Due $1,670.00 Thank you for your business! VOUCHER NO. WARRANT NO. ALLOWED 20 Mid States Truck Equipment IN SUM OF 11020 Allisonville Road Fishers, IN 46038 $1,670.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1120 56863 43- 510.00 $1,670.00 1 hereby certify that the attached invoice(s) or bill(s) is (are) true and correct and that the e materials or services itemized thereon for which charge is made were ordered and received except E R 1 �n +n Fire Chief 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)) 56863 $1,670.00 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 f MID -STATE TRUCK EQUIPMENT 1 l Invoice 11020 Allisonville Road a� Invoice Number: Retail 001104675 -001 -0 56776 Fishers, IN 46038 7777777X e�cc;teCr��ck gtlip��r,t Invoice Date: d'[tiCSi,�xiK;x�rA;Bi s Phone: 317.849.4903 a Fax 317.849.6441 www.mid- statetrrick.com 2/2/2010 Bill To Ship To CARMEL STREET DEPARTMENT 3400 West 131 Street Westfield, FN 46074 Handlinq charge added to Credit Customer P.O. No. Terms M/C 2 AMEX Discover 3% NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date DM 2/2/2010 2/27/2010 Qty Item Code Description Price Ea. Extension 1 PARTS 1 TEC 16 -900CA DUAL AIR HORNS 189.00 189.00 j i i I Serial Serial Subtotal $189.00 Sales Tax (7.0 $0.00 Total Invoice Amount $189.00 Received by Payment Received $0.00 Check# Authorization Code Balance Due $189.00 Thank you for your business! VOUCHE N O. WARRANT NO. ALLOWED 20 Mid -State Truck Equipment IN SUM OF 11020 Allisonville Road Fishers, IN 46038 $189.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO, ACCT /TITLE AMOUNT Board Members 2201 56776 42- 370.00 $189.00 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 Thursday, F,ebrbary 11, 2010 Y Street Commissioner Y Street CorTipI ssicrer 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)) 02102/10 56776 $189.00 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 20 Clerk- Treasurer