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:
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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