163862 09/17/2008 r
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CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $36.00
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD
FISHERS IN 46038 CHECK NUMBER: 163862
CHECK DATE: 9/17/2008
DEPARTMENT ACCOUNT PO NUMBE INV OICE NUMBER AMOUNT DESCRIPTION
601 5023990 50159 36.00 OTHER EXPENSES
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MID -STATE TRUCK EQUIPMENT INC. Invoice
11020 Allisonville Road Invoice Number:
Retail 001104675 -001 -0 50159
Fishers, IN 46038 Invoice Date:
Phone: 317.849.4903 www mid- statetruck.com
9/3/2008
Fax 317.849.6441
Bill To Ship To
CARMEL WATER DISTRIBUTION
3450 W. 131 st St.
Westfield, IN 46074 -8267
J Handling charge added to Credit Custoni r O. Terms
Card orders over $500.00: Visa
AVC 2 AMEX Discover 3% truck 71 NET 25 Days
Sales Rep ID Shippi ethod Ship Date Due Date
TMB P 9/3/2008 9/28/2008
Qty Item Code Description Price Ea. Extension
2 flap mud flap 18.00 36.00
Serial
Serial
Subtotal $36.00
Sales Tax (7.0 $0.00
Receive
�r Total Invoice Amount $36.00
Payment Received $0.00
Check# Authorization Code: Balance Due $36.00
Thank y ®u jor your business
VOUCHER 082897 WARRANT ALLOWED
201250 IN SUM OF
MID STATE TRUCK EQUIP CORU,1�-T4
11020 ALLISONVILLE RD
FISHERS, IN 46038 0
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
50159 01- 6500 -05 $36.00 j
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Voucher Total $36.00
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 r
201250
MID STATE TRUCK EQUIP CORP Purchase Order No.
11020 ALLISONVILLE RD Terms.
FISHERS, IN 46038 Due Date 9/10/2008
Invoice Invoice 'Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/10/2008 50159 $36.00
i
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
Date Officer