HomeMy WebLinkAbout204317 12/06/2011 „yF CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $1,469.60
CARMEL, INDIANA 46032 11020ALLISONVILLE RD
FISHERS IN 46038 CHECK NUMBER: 204317
CHECK DATE: 1216!2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 64902 1,173.60 REPAIR PARTS
2201 4237000 65352 296.00 REPAIR PARTS
MID -STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road °s4 Invoice Number:
Retail 001104675 -001 -0
p 64902
Fishers, IN 4603 p cla:'Ca FFgeKii iiip o
Invoice Date:
Phone: 31 7.849.4903 ftnvrv.r r st tetmck.co
1012612011
Fax 317.849.6441 m
Bill To Ship To
CAR EL STREET DEPARTMENT"
3400 West 131 Street
WESTFIELD, IN 46074
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Handling charge added to Credit Card Customer P.O. No. Terms
orders over $500.00: 2.6% on Visa.
MIC, AMEX Discover 1026246 NET 25 Days
Sales Rep ID Shipping Method Ship Date j Due Date
DM 1012612011 i 1112012011
:Qty Item Code
Description Price Ea Extension
8 i PARTS I 400129 W IEEL AND TIRE ASSY. 120.42 963.36
12 iPARTSI 900339 BEARING 10T 10.48! 125.76
12 jPARTS jB -235 BOLT 5.95 71.40
12 j'PARTSI N -115 NUT 1.09 13.08.
7
f E 3
f 1 I
f
r i j
c
j
i E
Serial
Serial Subtotal $1,173.60
Sales Tax (7.0 $0.00
Received b Total Invoice Amount $1 ,173.50
Payment Received $0.00
Check# 1 Authorization Code: Balance D $1,173.6
'hank you for your husiness
MID -STATE TRUCK EQUIPMENT ;a. s, Invoice
11020 Allisonville Road Invoice Number:
Retail 001104675 -001 -0 yrn..w4
65352
Fishers, IN 46038
Mir' ScacCl Truck F.a uipmc� t
Invoice Date:
Phone: 317.849.4903
www. mid statetruck.com 11/18/2011
Fax 317.849.6441
Bill To Ship To
CARMEL STREET DEPARTMENT
3400 West 131 Street
WESTFIELD, IN 46074
Handling charge added to Credit Customer P.O. No i Terms
Card orders -over $500.00: 2:5 -on
Visa M/C AMEX Discover NET 25 Days
Sales Rep ID Shipping Method Ship. Date Due Date
TM13 A 11/18/2011 12/13/2011
Qty Item Code Description Price Ea Extension
1 PARTS I TARP MOTOR 296.00 296.00
E
Serial
Serial Subtotal $296.00
Sales Tax (7.0 $0.00
Total Invoice Amount $296.00
Received by
Payment Received $0.00
Check# Authorization Code: Bal Due $296.00
Thank you jor your business!
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid -State Truck Equipment
IN SUM OF
11020 Allisonville Road
Fishers, IN 46038
$1,469.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 64902 42- 370.00 $1,173.60 1 hereby certify that the attached invoice(s), or
2201 65352 42- 370.00 $296.00 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 /Dec n,ber 01, 2
Street Commission
Title
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))
10/26/11 64902 $1,173.60
11/18111 65352 $296.00
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