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Home My WebLink About202672 10/11/2011 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: $4,120.00 FISHERS IN 46038 CHECK NUMBER: 202672 CHECK DATE: 10/11/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 27390 64520 3,780.00 PLOW 2201 4237000 64656 340.00 REPAIR PARTS MID -STATE TRUCK EQUIPMENT Invoice 11020 Allisonville Road i Invoice Number: t i Retail 001104675 -001 -0 x z k 64520 Fishers, IN 46038 i4id _.tYl(4Ts' k Fgtj pailcrtt Invoice Date: uia,;v +ppe s Phone: 317.849.4903 Fax 317.849.6441 www.mid- statetrtick.com 9/26/2011 Bill To Ship To CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 West 131 Street 3400 West 131 Street WESTFIELD, IN 46074 WESTFIELD, IN 46074 DAVE HUFFMAN E harge added to Credit Customer P.O. No. Terms eve $50&00 2:5% -on AMEX Discover 27390 NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date MRR 9/26/2011 10/21/2011 Qty Item C ode Description Pric Ea. I E xtension 3 accessories VAISALA SURFACE PATROL PAVEMENT 1,260.00 3,780.00 TEMPERATURE SENSOR W/ DISPLAY DSP100 SERIES *MANUFACTURED BY QUIXOTE Serial Serial Subtotal $3,780.00 Sales Tax (7.0 $0.00 Received by Total Invoice Amount $3,780.00 Payment Received $0.00 Check# Authorization Code Balance Due $3,780.00 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)) 09/26/11 64520 $3,780.00 1 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 N ALLOWED 20 Mid -State Truck Equipment IN SUM OF 11020 Allisonville Road Fishers, IN 46038 $3,780.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 27390 64520 2201-670.99 $3,780.00 1 hereby certify that the attached invoice(s), or 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 7� Thursday, October 06, 2011 �V� 11 Street Commissioner Str;ot CorTitlec;=.ic�.r,� Cost distribution ledger classification if claim paid motor vehicle highway fund MID -STATE TRUCK EQUIPMENT Invoice 11020 Allisonville Road Invoice Number: Retail 001104675 -001 -0 64656 Fishers, IN 46038 Mn,st.�:a:,r r �kA� Invoice Date: indt Phone: 317.849.4903 wrtirn�,muslatel�uckco 10/6/2011 Fax 317.849.6441 Bill To Ship To CARMEL STREET DEPARTMENT 3400 West 131 Street WESTFIELD, IN 46074 Handling charge added to Credit Card Customer P.O. No. Terms orders over $500.00: 2.5% on Visa, MIC, AMEX Discover NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date TNIB P j 10/6/2011 10/31/2011 Qty Item Code Description Price Ea. 'i Extension 1 !PARTS/ LUVERIVE 579921 BR UXT KIT 105.00 105.00 1 PARTS/ LUVER 586078 78” ALUATU TUM STEP (CUT TO IVE 225.001 225.00 ;-FIT). 1 FREIGHT -01 FREIGHT /SHIPPING 10.00 10.00 j I ti l I t 3 Serial Subtotal $340.00 Serial Sales Tax (7.0 $0.00 �q Total Invoice Amount $340.00 -Received by Payment Received $o.ao Check Authorization Code Balance Due $340.00 Thank you for your husiness! 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)) 10/06/11 64656 $340.00 1 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. W N ALLOWED 20 Mid -State Truck Equipment IN SUM OF 11020 Allisonville Road Fishers, IN 46038 $340.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 64656 42- 370.00 $340.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Friday, O,cto;$er 07, 2011 Street Commiss)69wr ner Title Cost distribution ledger classification if claim paid motor vehicle highway fund