HomeMy WebLinkAbout176351 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $4,895.00
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD
FISHERS IN 46038 CHECK NUMBER: 176351
CHECK DATE: 8/19/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 12676 54179 4,895.00 SNOW PLOW
MID =STATE TRUCK EQUIPMENT INC. Invoice
11020 Allisonville Road Invoice Number:
Retail 001104675 -001 -0 54179
Fishers, IN 46038
Invoice Date:
Phone: 317.849.4903 www.mid-statetruck.com
8/10/2009
Fax 317.849.6441
Bill To Ship To
CARMEL FIRE DEPARTMENT BOB VAN VOORST
2 Civic Square 664 -0958
Carmel, IN 46032
Handlinq charge added to Credit Cus tomer P.O. N o. T er m s
C-ard-or tiers over 00.00 —Visa w
MIC 2 AMEX Discover 3% CAR4509 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
BE cust. pick -up 8/10/2009 9/4/2009
Qty Item Code Description Price Ea. Extension
1 BOSS82V BOSS RT3 8 1 2" POWER V SNOWPLOW WITH 4,495.00' 4,495.00
SMARTHITCH2 S/N:125418
1 MSC09908 BLADE CRATE, RT3 8 1 2 11 V 0.00
1 MSC15000 BOSS 7 8 1 2, 9 V -PLOW BOX 0.00
1 LTA09060 2008 Ford Super Duty F250 F350 0.00
1 MSC01565 BOSS RUBBER SNOW DEFLECTOR 0.00
1 MSC09993 LGHT ADPTR,DODGE 06 -07 FL SIZE 0.00
1 I MSC15100 V -PLOW CONTROL KIT SMARTTOUCH2 0.00
1 6460A -MG ECCO LED BEACON; LOW PROFILE, MAGNET 0.00
MOUNT
V labor hourly labor /installation fee 400.00: 400.00
VIN:IFTSX21579EA85476
MUNICIPAL
Serial
Serial Subtotal $4,895.00
Sales Tax (7.0 $0.00
Received by Total Invoice Amount $4,895.00
Payment Received $0.00
Check# /Authorization Code: F, BaOa Du e 54,895.00
Thank y for your business!
Prescribed by State Board of Accounts City Form flo. 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))
54179 $4,895.00
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. WAR NO.
P.
Mid States Truck Equipment ALLOWED 20
IN SUM OF
11020 Allisonville Road
Fishers, IN 46038
$4,895.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
12676 54179 43- 510.00 $4,895.00 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 1 7 2009
z�'
a
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund