HomeMy WebLinkAbout206754 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP
i CHECK AMOUNT: $35.00
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD
•'v:o� `o FISHERS IN 46038 CHECK NUMBER: 206754
CHECK DATE: 2/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 66990 35.00 OTHER EXPENSES
MID-STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road Invoice Number:
Retail#: 001104675-001-0 66990
Fishers, IN 46038 Invoice Date:
Phone 317.849.4903 immmid-statetritck.com 2/10/2012
Fax 317.849.6441
Bill To Ship To
CARMEL WATER DISTRIBUTION
340 I st St.
\kcstfield. IN 46074-8267
Handling change added to Credit
Customer P.O. No. Terms
Card orders over $500.00: 2.5% on
Visa, MIC, AMEX Discover Jim HaaL) NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
CAG 2/10/2012 3/6/2012
Qty Item Code Description Price Ea. Extension
I PARTS] throttle cable 3 5.0 33 5. 0 0
'7D
Serial
Serial Subtotal $35.00
Sales Tax (7.0%) $0.00
Total Invoice Amount $3.00
Receive Payment Received $0.00
CheclO I Authorization Code: Balance Due 535.00
Thank you for your business!
VOUCHER 113833 WARRANT ALLOWED
201250 IN SUM OF
MID STATE TRUCK EQUIP CORP
11020 ALLISONVILLE RD
FISHERS, IN 46038 WATER
OPER
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
66990 01- 6500 -05 $35.00
Voucher Total $35.00
Cost distribution ledger classification if
claim paid under 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 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 2/21/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/21/2012 66990 $35.00
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
Date Office