HomeMy WebLinkAbout203944 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $715.79
CARMEL, INDIANA 46032 11020ALLISONVILLE RD
FISHFRS IN 46038 CHECK NUMBER: 203944
CHECK DATE: 11121/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 65155 680.00 REPAIR PARTS
2201 4237000 65205 35.79 REPAIR PARTS
MID -STATE TRUCK EQUIPMENT Invoice
11020 Allisonuille Road.'_.
Retail 001104675 -001 -0 Invoice Number:
Fishers, IN 46038 a
65155
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Phone: 317.849.4903 "'r Invoice Date:
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Fax 317.849.6441 111 1012011
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Bill To Ship To
CARMEL STREET DEPARTMENT
3400 West 131 Street
WESTFIELD, IN 46074
Handlin q char a added to Credit Card
orders over $500.00. 2.6% on Visa CUSt4mer P.O.NO Terms
MIC AMEX Discover
NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
TMB P
Qty E Item Cod 1
1111012011 12/512011
Description Price Ea. Extension
2 PARTS LUVERN 579921 BRACEET IGT
103.001
210.00
2 iPARTS LUVERNE 586078 78" ALUl lUgUM STEP (CUT TO 225.00 450.00 E
F IT) j
I 1 FREIGHT -01 FREIGHTISHIPPING
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2 0.001 20.00
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Serial
Serial Subtotal $680.00
Sales Tax (7.0 $0.00
Received by Total Invoice Amount $680.00
Payment Received $0.00
Check# I Authorization Code:
Bala Du $68 0.00
_d ank you for your business!
MID -STATE TRUCK EQUIPMENT I Invoice
11020 Allisonville Road kY Invoice Number:
Retail 001104675 -001 -0''
4
Fishers, IN 46038 °4 ¢,f 65205
P9 =tl- 5g�:tr fire =cis ui etacYa Invoice Date.
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Phone: 317.849.4903
Fax 317.849.6441 www.mid- statetruck.com 11/14/2011
Bill To Ship To
CARMEL STREET DEPARTMENT
3400 West 131 Street
WESTFIELD, IN 46074
Handling charge added to Credit Cust No. Terms
Card rsrc'ers ever $SCO:Ot1: 2.5% on
Visa, M /C, AMEX Discover MIKE NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
TM13 P 11/14/2011 12/9/2011
Qty I tem Code D escription Price Ea. Extens
3 PARTS DC 20222 BUSHING 1.57 4.71
6' PARTS 1 DC 788101 GASKET 2.34 14.04
2 PARTS 1 DC K -102 KEYWAY 1.46 2.92
2 PARTS I DC 600060 CLAMP 3.06 6.12
1 FREIGHT' -01 FREIGHT /SHIPPING 8.00' 8.00
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Y
4
Serial
Serial Subtotal $35.79
Sales Tax (7.0 $0.00
Received by Total Invoice Amount $35.79
Payment Received $0.00
Check# Authorization Code: Balance Due $35.79
I hank y ®u for your business!
VOUCHER NO. WARRANT N
ALLOWED 20
Mid -State Truck Equipment
IN SUM OF
11020 Allisonville Road
Fishers, IN 46038
$715.79
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 65155 42- 370.00 $680.00 1 hereby certify that the attached invoice(s), or
2201 65205 42- 370.00 $35.79 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, Nov ember 17, 2011
Street Commissioner
ru
Street CorT er
Cost distribution ledger classification if
claim paid motor 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 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))
11/10111 65155 $680.00
11/14/11 65205 $35.79
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