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Home My WebLink About173943 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1 t' ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CARMEL, INDIANA 46032 11020ALLISONVILLE RD CHECK AMOUNT: $120.72 FISHERS IN 46038 CHECK NUMBER: 173943 CHECK DATE: 6/24/2009 DE PARTMENT ACCOU PO NUM INVOIC NUMBER AMOUNT DESCRIPTION 1125 4238900 53831 110.72 OTHER MAINT SUPPLIES 651 5023990 53878 10.00 OTHER EXPENSES MID -STATE TRUCK EQUIPMENT INC Invoice 11020 Allisonville Road Invoice Number: Retail 001104675 -001 -0 53831 Fishers, IN 46038 Invoice Date: Phone: 317.849.4903 www.mid- statetruck.com 6/1/2009 Fax 317.849.6441 Bill To Ship To CARMEL CLAY PARKS RECREATION SUN 1411 E. 116TH STREET 0 3 2009 Carmel, IN 46032 $1': Handling charge added to Credit Customer P.O. No. Terms Car or ove $5 00.00: Visa M/C 2 AMEX Discover 3% 21933 NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date DM UPS Ground 6/1/2009 6/26/2009 Qty Item Code Description Price Ea. Extension 4 9001C Remote Flash Tube: 1" Plug -in, clear glass, helical 20W 25.18' 100.72 freight /shipping /handling 10.00 10.00 1 'freight Purchase Description STRAP FLA 1 1 y l BPS P.O. L Po& NCB G.L. 1 0 'L4 a& L4 p9')o0 Bud Line Desk -)-)o L�� l 4_1( 12S Purchaser Date Approv Serial Serial Subtotal $110.72 Sales Tax (7.0 $0.00 Received by Total Invoice Amount $110.72 Payment Received $0.00 Check# Authorization Code Dala ice Due $110.72 'hank you for your business! ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 201250 Mid -State Truck Equipment, Inc. Terms 11020 Allisonville Road Fishers, IN 46038 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 6/1/09 53831 Strobe flash tubes 21933 F 110.72 Total 110.72 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. 201250 Mid -State Truck Equipment, Inc. Allowed 20 11020 Allisonville Road Fishers, IN 46038 In Sum of 110.72 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 53831 4238900 110.72 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 18 -Jun 2009 Signature 110.72 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund MID -STATE TRUCK EQUIPMENT INC. Invoice 11020 Allisonville Road Invoice Number: Retail 001104675 -001 -0 53878 Fishers, IN 46038 Invoice Date: Phone: 317.849.4903 www.mid- statetruck.com 6/12/2009 Fax 317.849.6441 Bill To Ship To CARMEL UTILITIES 3450 W 131 ST. ST Westfield, IN 46074 -8267 Handlinq charge added to Credit Customer P.O. No. Terms Ca rd o over $500 .00: .Visa M/C 2 AMEX Discover 35 NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date TMB P 6/12/2009 7/7/2009 Qty Item Code Description Price Ea. Extension 1 PARTS 1 AIR BRAKE HOSE 1/2 W CRUSH WASHERS 10.00 10.00 Serial Serial Subtotal $10.00 Sales Tax (7.0 $0.00 Total Invoice Amount $10.00 Received by Payment Received $0.00 Check# Authorization Code: Balance Due $10.00 Thank you for your business! Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER ti CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 201250 MID STATE TRUCK EQUIP CORP Purchase Order No. 11020 ALLISONVILLE RD Terms FISHERS, IN 46038 Due Date 6/17/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/17/2009 53878 $10.00 hereby certify that the attached invoice(s), or bill(s) is (are) true and :orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 Date Officer VOUCHER 095866 WARRANT ALLOWED 201 250 IN SUM OF Mlb STATE TRUCK EQUIP CORP 11020 ALLISONVILLE RD FISHERS, IN 46038 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 53878 01- 7502 -06 $10.00 Voucher Total $10.00 Cost distribution ledger classification if claim paid under vehicle highway fund