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HomeMy WebLinkAbout189908 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1 0 ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK AMOUNT: $190.00 FISHERS IN 46038 CHECK NUMBER: 189908 CHECK DATE: 9/14/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 58838 190.00 REPAIR PARTS MID -STATE TRUCK EQUIPMENT Invoice 11020 Allisonville Road Invoice Number: Retail 001104675 -001 -0 58838 Fishers, IN 46038� Pfe�SC� Trsc Ecgseprber�r` Invoice Date: in� +,tirxapa,s Phone: 317.849.4903 Fax 31.7..849.6441 www.mi(I-sttitetruck.com 8/30/2010 Bill To Ship To CARMEL STREET DEPARTMENT 3400 West 131 Street WESTFIELD, IN 46074 Handling charge added to Credit Customer P.O. No. Terms Card orders over $500.00: Visa M/C 2%, AMEX Discover 3% shop jeff NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date TMB P 8/30/2010 9/24/201.0 Qty Item Code Description Price Ea. Extension 1 PARTSI RUGBY LEFT SIDE EZ -LATCH 90.00 90.00 1 PARTS 1 RUGBY RIGHT SIDE EZ- LATCH 90.00 90.00 1 FREIGI -IT SHIPPING, HANDLING AND DROP SHIP FEES 10.00 10.00 Serial Serial Subtotal $190.00 Sales Tax (7.0 $0.00 Received b 07 Total Invoice Amount $190.00 Y Payment Received $0.00 J Check# Authorization Code: Balance Du 5190.00 Thonkyou J for your business! VOUCHER N O. WARRANT NO. Mid -State Truck Equipment ALLOWED 20 IN SUM OF 11020 Allisonville Road Fishers, IN 46038 $190.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TiTLE AMOUNT Board Member 2201 58838 42- 370.00 $190.00 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 3 fThursday „Septem; 09, 2010 Street Commissioner c +rao+ 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)) 08/30/10 58838 $190.00 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