HomeMy WebLinkAbout196463 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
0 ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $3,089.65
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD
FISHERS IN 46038 CHECK NUMBER: 196463
CHECK DATE: 4/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 63111 3,089.65 OTHER EXPENSES
MID -STATE TRUCK EQUIPMENT 1 Invoice
11020 Allisonville Road 1 Invoice Number:
Retail 001104675 -001 -0
631.1.1.
1
Fishers, IN 46038
3.3 d•:t:e't,�T:u {k. rr,�ri�ltl.�rt7, Invoice Date:
z tiid;sn�t�oi:
Phone: 317.849.4903
Fax 317.849.6441 www.hud- statetruck.com 3/30/201.1
Bill To Ship To
CARMEL WATER DISTRIBUTION JIM
3450 W. 131st St. P 317.733.2855
Westfield, IN 46074 -8267 C 317.716.3939
F 317.733.2053
Handling charge added to Credit Customer P.O. No. Terms
Visa, M /C, AMEX Discover W09523 NE 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
BE cust. pick -up 3/30/2011 4/24/2011
Qty Item Code Description P rice E a. E
1 STB03167 BLADE CRA'rE,8 131 .1) SUPER 1,094.95 1
1 STB04190 PUSIIFRAME ASSY RT3 STIZ 01 &UP 235.63 235.63
1 CPA04689 COUPLER ASSY W /PINS ONLY, SPR IYI "Y RT3, 385.29 385.29
SI-12
1 L13A04629 IACHTBAR ASSY,STIt/V,SI -12 78.13 78.13
I STB03220 KICKS'rAND,LEG,STR BID R'r3 25.65 25.65
I EQUIP. BOSS RT3 TRUCK NIOUNT; MAKE /MODEL 560.00 560.00
SPECIFIC
81 labor hourly labor /installation fee 70.00 560.00
1 I FREIGHT SHIPPING, HANDLING AND DROP SHIP FEES 150.00 150.00
S /N: G1672
Serial
Serial Subtotal 53,089.65
Sales Tax (7.0 $0.00
Received by Total Invoice Amount $3,089.65
Payment Received $0.00
Check# Authorization Code: aI DU@ S3,
Thank you for your business!
VOUCHER 104469 WARRANT ALLOWED
201250 IN SUM OF
MID STATE TRUCK EQUIP CORP
11020 ALLISONVILLE RD
FISHERS, IN 46038
WMATOM
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
r
Board members
PO INV ACCT AMOUNT Audit Trail Code
63111 01- 6500 -05 $3,089.65
Voucher Total $3,089.65
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
201250
MID STATE TRUCK EQUIP CORP Purchase Order No.
11020 ALLISONVILLE RD Terms
FISHERS, IN 46038 Due Date 4/4/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/4/2011 63111 $3,089.65
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
7 1 4 If ice K--
Date Officer