Loading...
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 t1EO .`4Af 7ivO f� 'ZtSparicaaf Phone: 317.849.4903 "'r Invoice Date: ivr►rw.ni�irJr °sta�tetrrick. co Fax 317.849.6441 111 1012011 m 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 i 2 0.001 20.00 i I r r j i t f i E i I i i E i 3 i 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. lit 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 f I 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