HomeMy WebLinkAbout200947 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP
CARMEL, INDIANA 46032 CHECK AMOUNT: $39.95
11020 ALLISONVILLE RD
FISHERS IN 46038 CHECK NUMBER: 200947
CHECK DATE: 8/3012011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 64245 39.95 OTHER EXPENSES
MID -STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road Invoice Number:
Retail 001104675 -001 -0 1
64245
Fishers, IN 46038
Hid -54AU' k Fgotptwt ri( invoice Date:
E:Ilf3 e.A.34;Y �Y.�.,fi
Phone: 317.849.4903
ivww.mrrl stntetruck.com 8/22/2011
Fax 317.849.6441
Bill To Ship To
CARMEL WATER DISTRIBUTION
3450 W. l 31 st St.
Westfield. IN 46074 -8267
Handling charge added to Credit t= Customer P.O. No. Terms
Card orders ever 500.00: 2.5% on
Visa M/C AMEX Discover TRUCK 70 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
TMB P 8/22/2011 9/16/2011
Qty Item Code Description Price Ea. Extension
I PARTS I BUYERS PTO CABLE 39.95 3 9.9 5
Serial
Serial Subtotal $3995
Sales Tax (7.0 $0.00
Total Invoice Amount $39.95
Received b y Payment Received $0.00
Check# Authorization Code: Balance Due 39.95
oY yourbusinessl
VOUCHER 112244 WARRANT ALLOWED
201250 IN SUM OF
MID STATE TRUCK EQUIP CORP
11020 ALLISONVILLE RD
FISHERS, IN 46038
WATER
nPPizJ4 TIOUR
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
64245 01- 6500 -05 $39.95
Voucher Total $39.95
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
201250
MID STATE TRUCK EQUIP CORP Purchase Order No.
11020 ALLISONVILLE RD Terms
FISHERS, IN 46038 Due Date 8/23/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/23/2011 64245 $39.95
0
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