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