HomeMy WebLinkAbout176851 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP
0 CHECK AMOUNT: $869.00
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD
FISHERS IN 46038 CHECK NUMBER: 176851
CHECK DATE: 9/2/2009
DEPARTMENT ACCOUNT PO NUMBER INVOI NU MBER AMO UNT DESCRIPTION
1120 4351000 54261 869.00 AUTO REPAIR MAINTEN
l'•
MID- SIATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road'
7 Invoice Number:
Retail 001104675 001 0
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Fishers, IN 46038 54261
Mid -stac r Treto E Egtsi0ei)cnc Invoice Date:
7 itdaa.ii�atr,
Phone: 317.849.4903
Fax: 317.849.6441 www.mid- statetruck.com 8/27/2009
Bill To Ship To
CARMEL FIRE DEPARTMENT
2 Civic Square
Carmel, IN 46032
Handling charge added to Credit Customer P.O. No. Terms
Card orders over $500.00: Visa
M/C 2%, AMEX Discover 3% utility 41 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
KE 8/27/2009 9/21/2009
Qty Item Code Description Price Ea. Extension
2' PARTS 1 D.A. Angle Cylinders 275.00 550.00
3 ;PARTS 1 Quarts Oil 8.00 24.00
V labor hourly labor /installation fee SERVICE WESTERN 280.00 280.00
PLOW
1 shop -001 miscellaneous shop supplies 15.00 15.00
WORK ORDER #61214
CHEV. 2500 97 VIN:VZ207403
I
Serial
Serial Subtotal $869.00
Sales Tax (7.0 $0.00
Received by Total Invoice Amount $869.00
Payment Received $0.00
Check# Authorization Code: B alance Due 869.00
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))
54261 Repair U41 $869.00
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 N WARRANT NO.
ALLOWED 20
Mid States Truck Equipment
IN SUM OF
11020 Allisonville Road
Fishers, IN 46038
$869.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 54261 43- 510.00 $869.00 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
AUG 3 1 2009
0
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
