HomeMy WebLinkAbout204604 12/13/2011 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 'I
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP
11020ALLISONVILLE RD CHECK AMOUNT: $3,995.91
CARMEL, INDIANA 46032
FISHERS IN 46038 CHECK NUMBER: 204604
CHECK DATE: 12/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 65881 3,995.91 REPAIR PARTS
MID -STATE TRUCK EQUIPMENT
INO20 Allisonville Road Invoice Number:
Retail 001104675 -001 -0 65881
Fishers, IN 46038 i .a
r,;n si acrITruck Egosinici ►e Invoice Date:
h�d.a n,� poL s
Phone: 317.849.4903
Fax 317.849.6441 www. mid-statetruck.com 12/7/2011
Bill TO Ship To
CARMEL STREET DEPARTMENT
3400 West 131 Street
WESTFIELD, IN 46074
Handling charge added to Credit Customer P.O. No. Terms
Card orders over $500.00: 2.5% on
Visa, All /C, AMEX Discover JEFF NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
TMB P 12/6/2011 1/1/2012
Qty Item Code Description Price Ea. Extension
2 121850 HOLD DOWN PLATE 83.60 167.20
6 121650 PC CYLINDER TIE PLATE 35.91 215.46
6 120700 TRUNNION BRACKET, RIGHT HAND 47.50 285.00
6 120850 TRUNNION BRACKET, LEFT HAND 47.50 285.00
2 120800 DOUBLE TRIP SPRING HOUSING ONLY 323.00 646.00
2 122050 DOUBLE TRIP SPRING ROD 87.40 174.80
2 125410 DOUBLE TRIP SPRING BACK UP PLATE 25.65 51.30
3 122100 SHOCK SPRING 31.35 94.05
3 122200 TRIP SPRING 123.50 370.50
4 122300 3 SNOW PLOW REVERSE CYLINDER 381.90 1,527.60
(STANDARD)
2 122250 SPRING RETAINER 27.00 54.00
1 FREIGHT -01 FREIGHT/SHIPPING 125.00 125.00
Serial
Serial Subtotal $3,995.91
Sales Tax (7.0 $0.00
Received by Total Invoice Amount 53,995.91
Payment Received $0.00
Check# /Authorization Code: �c'�fa�ICe Due $3,995.91
Thank you for your business!
VOUCHER NO. WARRANT N
ALLOWED 20
Mid -State Truck Equipment
IN SUM OF
11020 Allisonville Road
Fishers, IN 46038
$3,995.91
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO Dept. INVOICE NO. ACCT /TiTLE AMOUNT Board Members
2201 65881 42- 370.00 $3,995.91 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
Frida December 09, 2011
Street Commissio`neVr
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))
12/07/11 65881 $3,995.91
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