HomeMy WebLinkAbout192991 12/16/2010 �f
CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $52.80
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD
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FISHERS IN 46038 CHECK NUMBER: 192991
CHECK DATE: 12/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 60329 52.80 REPAIR PARTS
MID -STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road Invoice Number:
Retail 001104675 -001 -0
60329
Fishers, IN 46038 w
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Phone: 317.849.4903
www.mid-statetruck.com 12/9/2010
Fax: 317.849.6441
Bill To Ship To
CARMEL FIRE DEPARTMENT
2 Civic Square
Carmel, IN 46032 V
Handling charge added to Credit Customer P.O. No. Terms i
Card orders over $500.00: 2.5% on
Visa. M /C, AMEX Discover JASON NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
TMB P 12/9/2010 1/3/2011
Qty Item Code Description Price Ea. Extension
1 hydoil -002 hydraulic oil (gallon) 25.00 25.00
4 PARTS WESTERN 45* 1/4 6.95 27.80
Serial
Serial Subtotal $52.80
Sales Tax (7.0 $0.00
Total Invoice Amount $52.80
Received by
Payment Received $0.00
Check# Authorization Code: Balance Du $52'80
Thank you for your business!
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid States Truck Equipment
IN SUM OF
11020 Allisonville Road
Fishers, IN 46038
$52.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCTWTITLE AMOUNT Board Members
1120 60329 42- 370.00 $52.80 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
DEC 1 3 201
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
t
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 invoices) or bill(s))
60329 $52.80
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
1 20
Clerk- Treasurer