HomeMy WebLinkAbout183872 03/29/2010 VOIDED CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK AMOUNT: $349.40
FISHERS IN 46038 CHECK NUMBER: 183872
OM O
CHECK DATE: 3/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
2201 4237000 57872 349.40 REPAIR PARTS
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MID -STATE TRUCK EQUIPMENT a In voice
11020 Allisonville Road Invoice Number:
Retail 001104675 -001 -0 57872
Fishers, IN 46038.Ra�
R+9atl• t iC���1 vtet6c E qmpment.. Invoice Date:
a 3 �rotit;xia;�p� #i
Phone: 317.849.4903 f
Fax 317.849.6441 www.mid- statetruck.com 3/11/2010
Bill To Ship To
CARMEL STREET DEPARTMENT
3400 West 131 Street
Westfield, IN 46074
Handling charge added to Cre, Customer P.O. No. Terms
Card_orders_o.uer_�00,�?0_ —Visa R I MIC 2 AMEX Discover 3% NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
TMB P 3/11/2010 4/5/2010
Qty Item Code Description Price Ea. Extension
1 PARTS 1 WESTIN 22 -1035 140.40 140.40
1 PARTS 1 WESTIN 22 -0005 209.00 209.00
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Serial
Serial Subtotal $349.40
Sales Tax (7.0 $0.00
Received by T Total Invoice Amount $349.40
Payment Received $0.00
Check# Authorization Code Balance Due $349.40
Thank you for your business!
VOUCHER .NO. WARRANT NO.
Mid -State Truck Equipment ALLOWED 20
IN SUM OF
11020 Allisonville Road
_Fishers, IN 46038
$349.
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Member:
2201 57872 65.00 $349.40 1 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
/Th�ursAYMarch 25, 2010
Street Comrrri loner
Street fy i s tl b lul 10
I
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City i orm 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))
03/11/10 57872 $349.40
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