HomeMy WebLinkAbout195556 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $136.00
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD
FISHERS IN 46038 CHECK NUMBER: 195556
CHECK DATE: 3116/2011
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER A DESCRIPTION
2201 4237000 62931 136.00 REPAIR PARTS
MID -STATE TRUCK EQUIPMENT j Invoice
11020 Allisonville Road A Invoice Number
Reta it 001104675 -001 -0 62931
Fishers, IN 46038
H,a!- :,Itt Tiock EgwPn -'Cs1c Invoice Date:
Phone' 317.849.4903
Fax 317.89.6441 www.mid-statetruck.com 2/28/2011
Bill To Ship To
CARiMEL STREET DEPARTMENT
_)-400 N est 131 Street
\V STI=IEI_D. IN 46074
Handling charge added to Credit Customer P.O. No. I Terms
Card crd- rs '500.00: 2 :51a an
Visa. M /C. AMEX Discover 228 E NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
DiM 2/28/2011 3/25/2011
Qty Item Code Description Price Ea. Extension
PARTS] BOSS STAND 25.00 50.00
PARTS] BOSS STAND PIN 11.00 22.00
PARTS I WESTERN STAND 23.00 46.00
PARTS 1 WESTERN STAND PIN 9.00 18.00
Serial
Serial Subtotal $136.00
Sales Tax (7.0 $0.00
Received bv
Total Invoice Amount $136.00
Payment Received $0.00
Check# Authorization Code Balance Du e SI36.00
Thank you for your b usiness!
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid -State Truck Equipment
IN SUM OF
11020 Allisonville Road
Fishers, IN 46038
$136.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT' Board Member;
2201 62931 42- 370.00 $136.00 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
1 Thursday? March 10, 2011
v Street Commis T
8t "rebt C( Tit eaner
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))
02/28/11 62931 $136.00
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