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Home My WebLink About206354 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1 ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $683.53 CARMEL, INDIANA 46032 11020 ALLISONVILLE RD 4 FISHERS IN 46038 CHECK NUMBER: 206354 CHECK DATE: 2/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 66902 10.53 REPAIR PARTS 2201 4237000 66951 673.00 REPAIR PARTS MID-STATE TRUCK EQUIPMENT Invoice 11020 Allisonville Road Invoice Number: Retail#: 001104675-001-0 66951 Fishers, IN 46038 Mod-Stalejrtsck EqijipmtnC Invoice Date: Phone: 317.849.4903 Fax 317.849.6441 www.mid-statetruck.com 2/7/2012 Bill To Ship To CARMEL STREET DEPARTMENT 3400 West 131 Street WESTFIELD, IN 46074 Handling cha rge added to Credit Customer P.O. No. Terms I Card orders over $500.00: 2.5% on I---- i Visa, MIC, AMEX Discover e SHOP NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date TM13 P 2/7/2012 3/3/2012 Qty Item Code Description Price Ea. Extension 6 PARTS I ROOT 10 GALLON CUSHION VALVE 108.00 648.00 1 FREIGHT-01 FREIGHT/SHIPPING 25.00 25.00 ao� Serial Serial Subtotal $673.00 Sales Tax (7.0%) $0.00 Total Invoice Amount $673.00 Received by Payment Received $0.00 Check# Authorization Code: Balance Due $673.00 Thankyou for your business! 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)) 02/07/12 66951 $673.00 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 VOUCHER NO. WAR NO. ALLOWED 20 Mid -State Truck Equipment IN SUM OF 11020 Allisonville Road Fishers, IN 46038 $673.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 66951 42- 370.00 $673.00 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 �Thursday/Feb�ua�y 09, 2012 d Street Commissioner d SUM `r'c e missloner Cost distribution ledger classification if claim paid motor vehicle highway fund MID-STATE TRUCK EQUIPMENT Invoice 11020 Allisonville Road Invoice Number: Retail#: 001104675-001-0 lg. 66902 Fishers, IN 46038 Tr wl, F :1f Invoice Date: n l' �r 1. Phone: 317.849.4903 ivivit.iiii(I-stateli-tick.coni 1 /31 /2012 Fax 317.849.6441 Bill To Ship To STREET DEPARTMENT :400 131 Street N\ ITIE'LID. IN 46074 Handling charge added to Credit Customer P.O. No. Terms Card orders over $500.00: 2.5% on Visa, MIC, AMEX Discover Shop NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date CAG 1 /3 /2012 2/25/2012 Oty Item Code Description Price Ea. Extension 1 MIS004581 WEATHER CAP KIT 10.53 10.53 a�� Serial Serial Subtotal 51 0.53 Sales Tax (7.0%) S0.00 Total Invoice Amount 5 10.53 Received by Payment Received 50.00 Chcckg /Authoi-ization Code: Balance Due 510.53 Thank you for your business! 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)) 01/31/12 66902 $10.53 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 VOUCHER NO. WARRANT NO. Mid -State Truck Equipment ALLOWED 20 IN SUM OF 11020 Allisonville Road Fishers, IN 46038 $10.53 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 2201 66902 42- 370.00 $10.53 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 Wednesday, February 08, 2012 Street Commissioner Eyre 7 Cost distribution ledger classification if claim paid motor vehicle highway fund