HomeMy WebLinkAbout191749 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP
CHECK AMOUNT: $275.00
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD
yr FISHERS IN 46038
CHECK NUMBER: 191749
CHECK DATE: 11/10/2010
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 59389 275.00 REPAIR PARTS
MID -STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road� Invoice Number:
Retail 001104675 -001 -0� 59389
Fishers, IN 46038
Invoice Date:
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Phone: 317.849.4903`
www.mid-statetruck.com 11/3/201.0
Fax 317.849.6441
BIII To Ship To
CARMEL STREET DEPARTMENT
3400 West 131 Street
WESTFIELD. FN 46074
Handling charge added to Cr:3% Customer P.O. No. Terms
Card orders over $500.00: Vi
M/C 2 AMEX Discover_- TRUCK 203 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
TMB P 11/3/2010 11/28/2010
Qty Item Code Description Price Ea. Extension
1 PARTS TRUCK STAR TARP GEAR MOTOR 275.00 275.00
Serial
Serial Subtotal $275.00
Sales Tax (7.0 $0.00
Total Invoice Amount $275.00
Received by�
Payment Received $0.00
Check# Authorization Code Balanc Due $275.00
Thank you for your business!
VOUCHER NO. WARRA NO.
ALLOWED 20
Mid -State Truck Equipment
IN SUM OF
11020 Allisonville Road
Fishers, IN 46038
$275.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
2201 59389 42 370.00 $275.00 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
i�
Friday Nave my r 05, 2010
E9Y?A t`L 0mrn i s s o n r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form Na. 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))
11/03/10 59389 $275.00
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