HomeMy WebLinkAbout203547 11/09/2011 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: $1,722.69
FISHERS IN 46038
r �o CHECK NUMBER: 203547
CHECK DATE: 11/9/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 64876 1,722.69 REPAIR PARTS
MID -STATE TRUCK EQUIPMENT W In voice
11020 Allisonville Road Invoice Number:
Retail 001104675 -001 -0
Y n" s$ t� 64876
Fishers, IN 46038 r9, ri,sc:tc'frr:eck FtorpI,64
Invoice Date:
utip +.0 „pail
Phone: 317.849.4903
Fax 317.849.6441 www.mid- statetruck.com 10/25/2011
BIII To Ship To
CARMEL STREET DEPARTMENT
3400 West 131 Street
WESTFIELD, IN 46074
Han charge added
,I to Credit Customer P.O. No. Terms
Visa, M /C, AMEX Discover 112011 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
DM 10/25/2011 11/19/2011
Qt I tem Cod Des P Ea. E
C
1 PARTS 1 200012 DIXIE PUMP 704.00 704.00
1 PARTS 1 200013 DIXIE PUMP 704.00 704.00
1 PARTS 1 200107 T -GEAR BOX 314.69 314.69
Serial
Serial Subtotal $1,722.69
Sales Tax (7.0 $0.00
Total Invoice Amount $1,722.69
Received by
Payment Received $0.00
Check# Authorization Code Balance Due $1,722.69
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))
10/25/11 64876 $1,722.69
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 NO.
ALLOWED 20
Mid -State Truck Equipment
IN SUM OF
11020 Allisonville Road
Fishers, IN 46038
$1,722.69
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. j ACCT #/TITLE AMOUNT Board Members
2201 64876 42- 370.00 $1,722.69 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
Thursday, November 03, 2011
Street Commissioner
I
Street C ornf— `mac
Cost distribution ledger classification if
claim paid motor vehicle highway fund