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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: $1,469.60 CARMEL, INDIANA 46032 11020ALLISONVILLE RD FISHERS IN 46038 CHECK NUMBER: 204317 CHECK DATE: 1216!2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 64902 1,173.60 REPAIR PARTS 2201 4237000 65352 296.00 REPAIR PARTS MID -STATE TRUCK EQUIPMENT Invoice 11020 Allisonville Road °s4 Invoice Number: Retail 001104675 -001 -0 p 64902 Fishers, IN 4603 p cla:'Ca FFgeKii iiip o Invoice Date: Phone: 31 7.849.4903 ftnvrv.r r st tetmck.co 1012612011 Fax 317.849.6441 m Bill To Ship To CAR EL STREET DEPARTMENT" 3400 West 131 Street WESTFIELD, IN 46074 R i.$.� v •WAD CBR�::�e :::__w e..«.,... o. w._..... M.....�sw..,.�........,....... aim....._..... m.. P_..m...�.....,..- e. .....�,..�..o.....��...�.....� 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