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Home My WebLink About190382 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1 0 ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $154.68 CARMEL, INDIANA 46032 11020 ALLISONVILLE RD FISHERS IN 46038 CHECK NUMBER: 190382 CHECK DATE: 9/29/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMO UNT DESCRIPTION 2201 4237000 58425 115.06 REPAIR PARTS 2201 4237000 58455 39.62 REPAIR PARTS MID -STATE TRUCK EQUIPMENT Invoice 11020 Allisonville Road Invoice Number:. Retail 001104675 -001 -0 i 58425 Fishers, IN 46038 hise!•c�sr +rr'c+cdCgaanncrsR Invoice Date: tikle�aa¢, Phone: 317.849.4903 Fax 317.849.6441 www.mid- statetruck.com 6/1.4/2010 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 ordetsover4500.00: Visa MIC 2 AMEX Discover 3% SHOP /JEFF NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date TM13 P 6/14/2010 7/9/2010 Qty' Item Code Description Price Ea. Extension 2 PARTSI DIXIE CHOPPER FRONT TIRE 400234 Tire 47.53', 95.06 15/6.00 -8 MC tread U FREIGHT freight /shipping /handling 20.00 20.00 I P�►ST DU`+E Serial Serial Subtotal $115.06 Sales Tax (7.0 $0.00 Total Invoice Amount $115.06 Received by Payment Received $0.00 Check# Authorization Code Balance Due $115.06 Thank you far your business! MID -STATE TRUCK EQUIPMENT Invoice 11020 Allisonville Road "Z'W Invoice Number: Retail 001104675 -001 -0 x 58455 Fishers, IN 46038,~ Sad C ;IC, Talc pr��eeic IIIVOICe Date: AIId�wl. opal p Phone: 317.849.4903 Fax 317.849.6441 www.mid- statetruck.com 6/21/201.0 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 Ck M/C 2%, AMEX Discover 3% SHOP /JEFF NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date TMB P 6/21/2010 7/1,6/2010 Qty Item Code Description Price Ea. Extension I PARTS 1 DIXIE CHOPPER 65247 BRAKE CABLE LONG 29.62 29.62 1 'FREIGHT freight /shipping /handling 10.00 10.00 1 I SST Dui P I I j i Serial Serial Subtotal $39.62 Sales Tax (7.0 $0.00 Total Invoice Amount $39.62 Received by Payment Received $0.00 Check# Authorization Code L BTla Due $39.62 Thank youfor your business! V OUCHE R N WARRANT NO. ALLOWED 20 Mid State Truck Equipment IN SUM OF 11020 Allisonville Road Fishers, IN 46038 $154.68 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# I Dept. INVOICE NO. ACCT #/TITLE AMOUNT p Board Member 2201 58425 42- 370.00 $115.06 1 hereby certify that the attached invoice(s), or 2201 58455 42- 370.00 $35.62 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 Frid ySe ber 24, 20' Street Commis i er Sfreets°�mmisslsne� Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 261 (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)) 06/14/10 58425 $115.06 06/21/10 58455 $39.62 I 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