HomeMy WebLinkAbout192171 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 201250 'Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP
CHECK AMOUNT: $514.98
CARMEL, INDIANA 46032 11020ALLISONVILLE RD
saa°. FISHERS IN 48038
CHECK NUMBER: 192171
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 59389 514.98 REPAIR PARTS
MID -STATE TRUCK EQUIPMENT I m Invoice
11020 Allisonville Road A Invoice Number:
Retail 001104675 -001 -0� ti 59389
G
Fishers, IN 46038 r�srrs`SVIC {Ire;,,
rndk.,napQErr, Invoice Date:
Phone: 317.849.4903 3
Fax 317.849.6441 www.mid- statetruek.com 11/8/2010
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. o.ver.s500.g0. _Visa_&
MIC 2%, AMEX Discover 3% TRUCK. 203 NET 25 Days
Sales Rep iD Shipping Method Ship Date Due Date
TMB P 11/3/2010 12/3/2010
Qty I tem C ode Description P rice Ea. Exte
1 PARTS 1 AFRO 0755 623457 TARP MOTOR (SUPERCEDE 351.00 351.00
0755- 960280)
1 PARTS AFRO ROLL UP BAR 0311- 961287 109.20 109.20
I PARTS AERO HARDWARE KIT 031.1 -96525 39.78 39.78
1 FREIGHT SHIPPING, HANDLING AND DROP SHIP FEES 15.00 15.00
i
Serial
Serial Subtotal $514.98
Sales Tax (7.0 $0.00
Received by Total Invoice Amount $514.98
Payment Received $0.00
Check# Authorization Code Balance Due 5514.98
Thank you for your business!
VOUCHER NO. WARRANT NO.
Mid -State Truck Equipment ALLOWED 20
IN SUM OF
11020 Allisonville Road
Fishers, IN 46038
$514.
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# I Dept. INVOICE NO. ACCT #!TITLE AMOUNT
Board Members
2201 59389 _5�0 $514.98 1 hereby certify that the attached invoice(s), or
C1�(� 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
Thursday, November 18, 2010
Street Commissioner
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))
11/08/10 59389 $514.98
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