179321 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STAT�Ei TRUCK EQUIP CORP CHECK AMOUNT: $4,436.00
CARMEL, INDIANA 46032 D
FISHERS IN 46038
CHECK NUMBER: 179321
CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4467099 54663 4,400.00 OTHER EQUIPMENT
2201 4467099 54778 36.00 OTHER EQUIPMENT
MID -STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road Invoice Number:
Retail 001104675 -001 -0
Fishers, IN 46038 54663
M�e•St.'cll to £qu�pwtcnc Invoice Date:
nOr+a
Phone: 317.849.4903 =y pous
Fax 317.849.6441 www.mid statetruck.com 10/16/2009
Bill To Ship To
CARMEL STREET DEPARTMENT DAVE HUFFMAN
3400 West 131 Street INST. 10 -21 -09
Westfield, IN 46074
Handling charge added to Credit Customer P.O. No. Terms
Card orders over $500.00: Visa
M/C 2%, AMEX Discover 3% DAVE NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
ME cust. pick -up 10/16/2009 11/10/2009
Q Item Code Description Price Ea. Extension
1 BOSS80SU... BOSS RT3 8 SUPER -DUTY SNOWPLOW WITH 4,000.00' 4,000.00
SMARTHITCH2
1 STB03167 j BLADE CRATE,8 BLD SUPER 0.00
1 STB15020 BOSS PLOW BOX SUPER STRAIGHT, SH2 RT3 0.00 0.00
I
'08+
1 LTA09060 i 2008 Ford Super Duty F250 F350 0.00 0.00
1 STB15103 BOSS STRAIGHT BLADE CONTROL KIT 0.00 0.00
SmartTouch2
1 MSC09993 LGHT ADPTR,DODGE 06 -07 FL SIZE 0.00 0.00
1 16410A -MG ECCO Strobe Beacon: low profile, 12 -80 VDC, 1.5 0.00
joules, replaceable U flashtube, magnet mount, amber
1i MSCO8839 113 PIN LIGHT ADAPTER,04 F -150 0.00
11 PLOWINST... I SNOWPLOW INSTALLATION CHARGE 400.00 400.00
*TRUCK #20 -2009 FORD F -250
VIN #9EB25752
*SERIAL #G7183
INSTALL 10 -21 -09
i I
Serial
Serial Subtotal $4,400.00
Sales Tax (7.0 $0.00
Received by Total Invoice Amount $4,400.00
Payment Received $0.00
Check# Authorization Code Balance Due $4,400.00
Thank y ®u for your business!
MID -STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road 1 Invoice Number:
Retail 001104675 -001 -0 54778
Fishers, IN 4603$
i4' Si_1Ct�T Egiripmcrit e
Invoice Date:
lndj pall..
Phone: 317.849.4903
Fax 317.849.6441 www.ini(I- statetruck.com 10/29/2009
Bill To Ship To
CARMEL STREET DEPARTMENT
3400 West 131 Street
Westfield, IN 46074
Handling charge added to Credit Customer P.O. No. I Terms
Card orders over $500.00: Visa
MIC 2 AMEX Discover 3% NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
DM 10/29/2009 11/23/2009
Qty', Item Code Description Price Ea. Extension
2 PARTS l ELECTRIC SOLENOID
18.00 36.00
#207
Serial
Serial Subtotal $36.00
Sales Tax (7.0 $0.00
Received by Total Invoice Amount $36.00
Payment Received $0.00
Check# Authorization Code Balance Due $36.00
Thank you for your business!
Prescribed by State Board of Accounts City Form tJ. 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))
10/16/09 54663 $4,400.00
10/29/09 54778 $36.00
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
VOUCHER NO. WA RRANT NO.
ALLOWED 20
Mid -State Truck Equipment
IN SUM OF
11.020 Allisonville Road
Fishers, IN 46038
$4,436.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 54663 2201-670.99 $4,400.00 1 hereby certify that the attached invoice(s), or
2201 54778 2201-670.99 $36.00
bil(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Tburs November 05 2009
i
Street Commissioner x'
StrP.At C.n-nrnicginnc-
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund