HomeMy WebLinkAbout180886 12/30/2009 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP
CARMEL, INDIANA 46032 11020ALLISONVILLE RD CHECK AMOUNT: $11.33
FISHERS IN 46038
CHECK NUMBER: 180886
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 55215 11.33 REPAIR PARTS
MID -STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road y Invoice Number:
Reta i I 001104675 -001 -0
55215
Fishers, IN 46038
Mod St. .rtrut Egrap���rsc Invoice Date:
ris�ae �r�,tpr#�
Phone 317.849.4903
www.mid- statetruck.com 11/30/2009
Fax 317.849.6441
Bill To Ship To
CARMEL STREET DEPARTMENT
3400 West 131 Street
Westfield, IN 46074
I Handling charge added to Credit Customer P.O. No. Terms
Card orders over $500.00: Visa
MIC 2%. AMEX Discover- 3% JEFF NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
ME 11/30/2009 12/25/2009
Qty Item Code Description Price Ea. Extension
1 MSC04739 TURN SIGNAL AMBER LENS (BOSS) 11.33 11.33
Serial
Subtotal $11.33
Serial
Sales Tax (7.0 $0.00
Total Invoice Amount $11.33
Received by
Payment Received $0.00
Check# Authorization Code Baianee Due $11.33
Thank youjor 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))
11130/09 55215 $11.33
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.
ALLOWED 20
Mid State Truck Equipment
IN SUM OF
11020 Allisonville Road
Fishers, IN 46038
$11.33
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Membe
2201 55215 42- 370.00 $11.33 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
Ti day, Decbmb�e X92, 200!
Street Commissioner
StreMtoommissione;
Cost distribution ledger classification if
claim paid motor vehicle highway fund