HomeMy WebLinkAbout173451 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $30.00
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD
FISHERS IN 46038 CHECK NUMBER: 173451
CHECK DATE: 6/10/2009
DEPARTMENT A CCOUNT PO NUMBER INVOICE N UMBER AMOUNT DESCRIPTION
2201 4237000 53836 30.00 REPAIR PARTS
MID -STATE TRUCK EQUIPMENT INC. Invoice
11020 Allisonville Road Invoice Number:
Retail 001104675 -001 -0 53836
Fishers, IN 46038
Invoice Date:
Phone: 317.849.4903 www.mid- statetruck.com
6/2/2009
Fax 317.849.6441
Bill To Ship To
CARMEL STREET DEPARTMENT
3400 West 131 Street
Westfield, IN 46074
I Handling charge added t E-3% Customer P.O. No. Terms
Card orders over $500.00
MIC 2 AMEX Disco NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
DM 6/2/2009 6/27/2009
Qty Item Code Description Price Ea. Extension
6 1302005 EYEBOLT 5.00 30.00
Serial
Serial Subtotal $30.00
Sales Tax (7.0 $0.00
Total Invoice Amount $30.00
Received by
Payment Received $0.00
Check# Authorization Code: Balance Due $30.00
Thank y ®u 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))
06/02/09 53836 $30.00
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
VO UCHER NO. WARR NO.
Mid -State Truck Equipment ALLOWED 20
IN SUM OF
11020 Allisonville Road
Fishers, IN 46038
$30.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# /Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
2201 53836 42- 370.00 $30.00 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
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treet Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund