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Home My WebLink About180191 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1 ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CARMEL, INDIANA 46032 11020 ALLISONVILLE RD FISHERS IN 46038 CHECK AMOUNT: $280.41 CHECK NUMBER: 180191 CHECK DATE: 12/8/2009 DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBE AMOUNT DESCRIPTION 2201 4237000 55215 11.33 REPAIR PARTS 2201 4351000 55301 269.08 AUTO REPAIR MAINTEN f MID -STATE TRUCK EQUIPMENT I n voice 11020 Allisonville Road Invoice Number: Retail 001104675 -001 -0 I 55215 Fishers, IN 46038 Ma`4 #•5 e TlAock Fgmpa 61( Invoice Date: Phone: 317.849.4903 Fax 317.849.6441 www.mid- statetruck.com 11/30/2009 Bill To Ship To CARMEL STREET DEPARTMENT 3400 West 131 Street Westfield, IN 46074 Handling charge added to Credit Customer P.O. No. Terms Card3raers o:�cr X59 ^:aG': E�isa E IRCL:-N, 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 Serial Subtotal $11.33 Sales Tax (7.0 $0.00 Total Invoice Amount $11.33 Received by Payment Received $0.00 Check# Authorization Code: Balance Due $11.33 Thank you for your business! MID -STATE TRUCK EQUIPMENT In voice 11020 Allisonville Road Invoice Number: Retail 001104675 -001 -0 55301 Fishers, IN 46038 h9oCj �tc:Te' �t4 �gaii` ato�ns Invoice Date. �3 cirig;Y�;i4, Phone: 317.849.4903 Fax 31.7.849.6441 www.mid- statetritek.com 12/2/2009 Bill To Ship To CARMEL STREET DEPARTMENT 3400 West 131 Street Westfield, IN 46074 Handling charge added to Credit Cus: er P.O. N0. Terms Card or ders over 500. DO_ Visa M /C 2%, AMEX Discover 3% WW #4 NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date KE 12/2/2009 12/27 {2009 Qty Item Code Description Price Ea. Extension 1 i MSC04754 CONNECTOR PIG TAIL, 13 PIN, PLOW SIDE 44.08 44.08 1 labor hourly labor /installation fee /REPAIRED ALL 210.00 210.00 LIGHTS, LIGHT ADAPTER CORRODED CLEANED GREASED, PLOW PLUG HAD BAD PINIWIRE INSTALL REPAIR PLUG FOR TRUCK -SIDE 1 shop -001 miscellaneous shop supplies 15.00: WORK ORDER 961007 #4 GMC 2500HD 03 VIN:IGTHK24U83E329199 Serial Serial Subtotal $269.08 Sales Tax (7.0 $0.00 Received by Total Invoice Amount $269.08 Payment Received $0.00 Check# /Authorization Code FB alan Du e $269.08 _'hank 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)) 11/30/09 55215 $11.33 12/02/09 55301 $269.08 I 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 VOUCH NO. WARRANT NO. ALLOWED 20 Mid State Truck Equipment IN SUM OF 11.020 Allisonville Road Fishers, IN 46038 $280.41 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member! 2201 55215 42- 370.00 $11.33 1 hereby certify that the attached invoice(s), or 2201 55301 43 510.00 $269.08 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 r, r Friday, eeember 04, 2009 f �11 Street Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund