155826 01/23/2008 i
CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP
CARMEL, INDIANA 46032 11020ALLISONVILLE RD CHECK AMOUNT: $492.40
FISHERS IN 46038 CHECK NUMBER: 155826
CHECK DATE: 1/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 47850 145.00 TRANSPORTATION EXPENS
2201 4237000 47959 347.40 REPAIR PARTS
i
MID -STATE TRUCK EQUIPMENT INC Invoice
11020 Allisonville Road Invoice Number:
Retail 001104675 -001 -0 47959
Fishers, IN 46038
Invoice Date:
Voice: 317.849.4903
1/9/2008
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
Card orders over $500.00: Visa
M!C 2 AMEX Discover 3% NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
TMB P 1/9/2008 2/3/2008
Qty Item Code Description Price Ea. Extension
4 parts 1315315 VEH REPAIR HARNESS 36.60 146.40
4 parts 1315310 PLOW REPAIR 50.25 201.00
C
irK
Serial
Serial Subtotal $347.40
Sales Tax (6.0 $0.00
Total Invoice Amount $347.40
Received by
Payment Received $0.00
Check# Authorization Code: Balance Du $347.40
Thank you for your business!
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Q
L-k,(D Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
40
I i
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.
4 L k ALLOWED 20
IN SUM OF
8
ON ACCOUNT OF APPROPRIATION FOR
cuj, P (LU6
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
0 3 4� 0 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
20
WVZ
Signdi' e
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Q TRUCK, EQUIPMENT INC. Invoice
S
11020 Allisonville Road Invoice Number:
Retail 001104675 -001 -0 47850
Fishers, IN 46038
Invoice Date:
Voice: 317.849.4903
1/3/2008
Fax 317.849.6441
Bill To Ship To
CARMEL UTILITIES WASTE WATER PLANT
3450 W. 131 st St.
Westfield, IN 46074
Handling charge added to Credit Customer P.O. No. Terms
Card orders over $500.00: Visa
M/C 2%, AMEX &Discover 3% JEFF NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
DM 1/3/2008 1/28/2008
Qty Item Code Desc ription Price Ea. Extension
1 parts MESH TARP 145.00 145.00
Serial
Serial Subtotal $145.00
Sales Tax (6.0 $0.00
Total Invoice Amount $145.00
Received by
Payment Received $0.00
Check# Authorization Code:
Balance Due W $145 00
Thank you for your business!
VOUCHER 077079 WARRANT ALLOWED
201250 IN SUM OF
MI.D,STATE TRUCK EQUIP CORP
1;1020 ALLISONVILLE RD
FSSHERS, IN 46038
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
47850 01- 7502 -06 $145.00
Voucher Total $145.00
j,Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
f 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 1/9/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/9/2008 47850 $145.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
4
Date Officer