HomeMy WebLinkAbout158038 04/01/2008 i
CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK AMOUNT: $163.06
FISHERS IN 46038
CHECK NUMBER: 158038
CHECK DATE: 4/1/2008
DEPARTMENT ACCOUNT PO NUMB INVOI NUMBER AMOUNT DESCRIPTION
2201 J 4238900 49187 163.06 OTHER MAINT SUPPLIES
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MiD -S TATE TRUCK EQUIPMENT INC. Invoice
11020 Aliisonville Road Invoice Number:
Retail 001104675 -001 -0 49187
Fishers, IN 46038
Invoice Date:
Voice: 317.849.4903
3/17/2008
Fax 317.849.6441
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✓ orders -over $500. J0: Visa
MIC 2% AMEX Discover- 3% SHOP
NE T25 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
DM 3/17/2008 4/11/2008
F Q -tYT Item Code Description P rice Ea. Extension
2 MSC04599 LIGHT ADAPTER, OLD CHEVY/DODGE/FORD 36.00 72.00
13 PIN
2 MSC04601 LIGHT ADAPTER, CHEVY 90 -04 (4 LAMP) 13 PIN 45.53 91.06
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Serial
Serial Subtotal $163.06
Sales Tax (6.0 $0.00
Total Invoice Amount $163.06
Received by
Payment Received $0.00
Check# /Authorization Code: $163.06
DUE? $163.06
Thank you 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 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))
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
I t o 10
(D 6. c 4
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
4 q I 7 Lo 6. bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
MAR 3 1, 2008 20
^z C Sig ture
0 n-1 fr A �.0 01, td
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund