HomeMy WebLinkAbout205932 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
0 ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK AMOUNT: $54.32
FISHERS IN 46038 CHECK NUMBER: 205932
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 66613 54.32 OTHER EXPENSES
MID -STATE TRUCK EQUIPMENT In voice
11020 Allisonville Road Invoice Number:
Retail 001104675 -001 -0a 66613
Fishers, IN 46038
M ,:d r.:,,.:.. r<,:,; Invoice Date:
Phone: 317.849. =1903
ivwrv.niicl- stateti,rtck.cont 1/17/2012
Fax 317.849.6441
Bill To Ship To
C_ARMI 1. AVATER DISTRIBUTION
3450 131 st St.
Westfield. IN 46074 -8267
Handling charge added to Credit Customer NO. Terms
Card orders over $500.00: 2.5% on
Visa, M /C, AMEX Discover T K -27 NET 25 Days
Sales Rep ID Shippin e od Ship Date Due Date
DNl 1/17/2012 2/11/2012
Qty Item Code Description Price Ea. Extension
1 /ISC08839 13 PIN LIGHT ADAPTER,04 F -150 54.32 5 4. 32
Serial
Serial Subtotal $54.32
Sales Tax (7.0 $0.00
Received by
Z cr� Total Invoice Amount $54.32
Payment Received $0.00
Check# Authorization Code: Bal ance Due S -54.32
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
201250
MID STATE TRUCK EQUIP CORP Purchase Order No.
11020 ALLISONVILLE RD Terms
FISHERS, IN 46038 Due Date 1/23/2012
Invoice Invoice Description
Date Number (or note attached irivoice(s) or bill(s)) Amount
1/23/2012 66613 $54.32
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
i A 7 L lh /ti' s
Date Officer
VOUCHER 113504 WARRANT ALLOWED
201250 IN SUM OF
MID STATE TRUCK EQUIP CORP
11020 ALLISONVILLE RD
FISHERS, IN 46038 WATER
ORERAT ONS
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
i
66613 01- 6500 -04 $54.32
I i
I
Voucher Total $54.32
Cost distribution ledger classification if
claim paid under vehicle highway fund