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HomeMy WebLinkAbout198204 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1 ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $294.42 CARMEL, INDIANA 46032 11020ALLISONViLLE RD FISHERS IN 46038 CHECK NUMBER: 198204 CHECK DATE: 6/6/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 63597 294.42 TRANSPORTATION EXPENS MID -STATE TRUCK EQUIPMENT Invoice 11020 Allisonville Road Invoice Number: Retail 001104675 -001 -0 c 63597 Fishers, IN 46038' Muf.Sc: e,Truck Egi,ipmoi Invoice Date: 7iip., napgs,: Phone: 317.849.4903 www.mid- statetruck.com 5/26/2011 Fax 317.849.6441 Bill To Ship To CITY OF CARMEL ONE CIVIC SQUARE CARMEL. IN 46032 Handling charge added to Credit Customer P.O. No. Terms Cardb ddrs over'$5u"0: -on Visa. M /C. AMEX Discover JEFF COOPER NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date TMB P 5/26/2011 6/20/2011 Qty Item Code Description Price Ea. Extension 1 PARTS 1 51020 CLASS 3 HITCH PR- SERIES 175.00 175.00 1 PARTS 1 T -ONE 118242 WIRING KIT 69.00 69.00 1 PARTS 1 PRO SERIES TRIBALL 80426 45.92 45.92 1 PARTS 1 HITCH PIN 4.50 4.50 Serial Serial Subtotal $294.42 Sales Tax (7.0 $0.00 Total Invoice Amount $294.42 Received by n Payment Received $0.00 Check# Authorization Code: "t Balance Due $294.42 Thank yo for your business! 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 5/31/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/31/2011 63597 $294.42 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 1 2 11it Date Officer VOUCHER 115182 WARRANT ALLOWED 201250 IN SUM OF MID STATE TRUCK EQUIP CORP 11020 ALLISONVILLE RD FISHERS, IN 46038 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code d rr� o 6 63597 01- 11-02 $294.42 Voucher Total $294.42 Cost distribution ledger classification if claim paid under vehicle highway fund