166804 12/10/2008 i
CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $8,707.00
CARMEL, INDIANA 46032 11020ALLISONVILLE RD
FISHERS IN 46038 CHECK NUMBER: 166804
CHECK DATE: 12/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
'2.201. 4467099 18739 51194 4,347.00 PLOWS
2201 4467099 51195 4,347.00 OTHER EQUIPMENT
X 2201 4237000 51440 13.00 REPAIR PARTS
k� x3
i
MID -STATE TRUCK EQUIPMENT INC. Invoice
11020 Allisonville Road Invoice Number:
Retail 001104675 -001 -0 51440
Fishers, IN 46038
Invoice Date:
Phone: 317.849.4903 www. mid- statetruck. com
12/2/2008
Fax 317.849.6441
Bill To Ship To
CARMEL STREET DEPARTMENT
3400 West 131 Street
Westfield, IN 46074
Handling charge added to Credit C P.O. No. Terms
M /C 2 AMEX Discover 3% TRUCK 17 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
TMB P 12/2/2008 12/27/2008 J
Qty Item Code Description Price Ea. Extension
1 MSC04739 TURN SIGNAL AMBER LENS (BOSS) 13.00 13.00
I 1
i
I
i
I
Serial
Serial Subtotal $13.00
Sales Tax (7.0 $0.00
Total Invoice Amount $13.00
Received by
Payment Received $0.00
Check# Authorization Code: Balance Due $13.00
Thank you for your business!
i
MID -STATE TRUCK EQUIPMENT INC Invoice
11020 Allisonville Road Invoice Number:
Retail 001104675 -001 -0 51195
Fishers, IN 46038
Invoice Date:
Phone: 317.849.4903 ►v►vw.ndd- statetruck.com
Fax 317.849.6441 11/21/2008
Bill To Ship To
CARMEL STREET DEPARTMENT
3400 West 131 Street
Westfield, IN 46074
Handling charge added to Credit Customer P.O. No Terms
Card orders over $5UG. Visa __...w...._.
M/C 2 AMEX Discover 3% 18739 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
TB 11/21/2008 12/16/2008 l
Qty Item C ode Descriptio Price Ea. F Ex
1 BOSS90SU... j BOSS RT3 9'0" SUPER -DUTY SNOWPLOW WITH 3,947.00 3,947.00
SMARTHITCH2
1 labor hourly labor /installation fee 400.00 400.00
j 1 I LTA09060 2008 Ford Super Duty F250 F350 0.00 0.00
1 MSC01565 BOSS RUBBER SNOW DEFLECTOR 0.00 0.00
1 I MSC15103 BOSS STRAIGHT BLADE CONTROL KIT 0.00 0.00
1 MSC09993 LGHT ADPTR,DODGE 06 -07 FL SIZE 0.00 0.00
j NO SHOES!!!
i
2008 Ford F -550 VIN: 1FDAF57R39EA02258
Plow Serial# H4264
5�
Serial
Serial Subtotal $4,347.00
Sales Tax (7.0 $0.00
Total Invoice Amount $4,347.00
Received by
Payment Received $0.00
Check Authorization Code: Balance Due $4,347 00
Thank you for your business!
MID -STATE TRUCK EQUIPMENT INC Invoice
11020 Allisonville Road Invoice Number:
Retail 001104675 -001 -0 51194
Fishers, IN 46038
Invoice Date:
Phone: 317.849.4903 www.mid- statetriick.com
Fax 317.849.6441 11/21/2008
Bill To Ship To
CARMEL STREET DEPARTMENT
3400 West 131 Street
Westfield, IN 46074
Handling charge added to Credit Customer P.O. No. Terms
Care order- over $500.00: Visa
M/C 2%, AMEX &Discover 3% 18739 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
i
11/21/2008 12/16/2008 J
Qt Item Code n Desc Price Ea. Ex tens io n
1 BOSS90SU... BOSS RT3 9'0" SUPER -DUTY SNOWPLOW WITH 3,947.001 3,947.00
SMARTHITCH2
1 labor 1 hourly labor /installation fee 400.00 400.00
1 LTA09060 12008 Ford Super Duty F250 F350 0.00 0.00
1 MSC01565 BOSS RUBBER SNOW DEFLECTOR 0.00; 0.00
1 j MSC 15103 BOSS STRAIGHT BLADE CONTROL KIT 0.00 0.00
j 1 MSC09993 LGHT ADPTR,DODGE 06 -07 FL SIZE 0.00 j 0.00
NO SHOES!!! I
I
12008 Ford F -550 VIN:IFDAF57R19EA02257 #60
Plow Serial 113554
i
I
V�
LJ
Serial
Serial Subtotal $4,347.00
Sales Tax (7.0 $0.00
Received by Total Invoice Amount $4,347.00
Payment Received $0.00
Check# Authorization Code: Balance Due $4,347.00
Thank you for your business!
VOUCHER NO. WARRANT NO.
Mid -State Truck Equipment ALLOWED 20
IN SUM OF
.11020 Allisonville Road
Fishers, IN 46038
$8,707.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
2201 51195 2201-670.9S $4,347.00 Board Member;
I hereby certify that the attached invoice(s), or
18739 51194 2201 -670.9 $4,347.00
bill(s) is (are) true and correct and that the
2201 51440 42- 370.00 $13.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, December 04, 2008
Street Commi ner
Title
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))
11/21/08 51195 $4,347.00
11/21/08 51194 $4,347.00
12/02/08 51440 $13.00
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
20
Clerk- Treasurer