HomeMy WebLinkAbout175805 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $349.40
CARMEL, INDIANA 46032 11020ALLISONVILLE RD
FISHERS IN 46038 CHECK NUMBER: 175805
CHECK DATE: 8/6/2009
DEPA A CCOUNT PO NUM INVOICE N UMBER AMOUNT D ESCRIPTIO N
2201 4467099 54077 349.40 OTHER EQUIPMENT
4.
MID -STATE TRUCK EQUIPMENT INC. Invoice
11020 Allisonville Road Invoice Number:
Retail 001104675 -001 -0 54077
Fishers, IN 46038
Invoice Date:
Phone: 317.849.4903 www.mid- statetruck.com
7/22/2009
Fax 317.849.6441
Bill To Ship To
CARMEL STREET DEPARTMENT
3400 West 131 Street
Westfield, IN 46074
Handlinq charge added to Credit Custom P .O. No. Terms
M/C 2 AMEX Discover- 3% TRUCK 20 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
TMB P 7/22/2009 8/16/2009
Qty Item Code Description Price Ea. Extension
1: PARTS 1 WESTIN 22 -1035 140.40 140.40
1 PARTS 1 WESTIN 22 -0005 209.00 209.00
Serial
Serial Subtotal $349.40
Sales Tax (7.0 $0.00
Received by Total Invoice Amount $349.40
Payment Received $0.00
Check# Authorization Code: Balat ®U G $349.40
_'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))
07/22/09 54077 $349.40
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
$349.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 54077 2201-670.99 $349.40 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
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TrhursdayJuly 30, 2009
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Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund