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Home My WebLink About169538 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1 ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP 0 CHECK AMOUNT: $877.00 CARMEL, INDIANA 46032 11020 nLusoNViLLERo M d� FISHERS IN 46038 CHECK NUMBER: 169538 CHECK DATE: 3/4/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 53128 264.00 REPAIR PARTS 2201 4237000 53147 36.00 REPAIR PARTS 2201 4237000 53187 577.00 REPAIR PARTS '4 MID -STATE TRUCK EQUIPMENT INC Invoice 11020 Allisonville Road Invoice Number: Retail 001104675 -001 -0 53128 Fishers, IN 46038 Invoice Date: Phone: 317.849.4903 www.mid- statetruck.coni 2/11/2009 Fax 317.849.6441 Bill To Ship To CARMEL STREET DEPARTMENT 3400 West 131 Street Westfield, IN 46074 Handling charge added to Credit Customer P.O. No. i Terms Card orders over $500.00: Visa M/C 2 AMEX Discover 3% NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date TMB P 2/11/2009 3/8/2009 Qty Item Code Description Price Ea. Extension 2 HYD08830 CYL, ANGLE,RT3,STB,NITR0BAR 132.00 264.00 Serial Serial Subtotal $264.00 Sales Tax (7.0 $0.00 Total Invoice Amount $264.00 Received by Payment Received $0.00 B f b Check# Authorization Code: NW u e $264.00 Thank you for your business! MID -STATE TRUCK EQUIPMENT INC. Invoice 11020 Allisonville Road Invoice Number: Retail 001104675 -001 -0 53147 Fishers, IN 46038 Invoice Date: Phone: 317.849.4903 www.mid- statetruck.coni 2/12/2009 Fax 317.849.6441 Bill To Ship To CARMEL STREET DEPARTMENT 3400 West 131 Street Westfield, IN 46074 Handling charge added to Credit Customer P.O. No. Terms Card orders over $500.00: Visa M/C 2%, AMEX &Discover 3% NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date TMB P 2/12/2009 3/9/2009 Qty Item Code Description Price Ea. Extension 2 PARTS 1 SOLENOID 18.00 36.00 Serial Serial Subtotal $36.00 Sales Tax (7.0 $0.00 Total Invoice Amount $36.00 Received by Payment Received $0.00 Check# Authorization Code: Balance Du e $36.00 Thank you for your business! MID -STATE TRUCK EQUIPMENT INC. Invoice 11020 Allisonville Road Invoice Number: Retail 001104675 -001 -0 53187 Fishers, IN 46038 Invoice Date: Phone: 317.849.4903 www.mid- statetruck.com 2/13/2009 Fax 317.849.6441 Bill To Ship To CARMEL STREET DEPARTMENT 3400 West 131 Street Westfield, IN 46074 Handling charge added to Customer P.O. No.� Terms Card orders over $500.00: Visa MIC 2 AMEX Discover 3% #9 NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date KE 2/13/2009 3/10/2009 Qty Item Code Description Price Ea. Extension 1 PARTS 1 WESTERN SOLENOID 18.00 18.00 1 PARTS 1 HARNESS 63392 275.00' 275.00 1 PARTS 1 HARNESS 61584 24.00 24.00 1 labor hourly labor /installation fee REPLACE WESTERN 245.00: 245.00 HARNESS ON UNI- MOUNT, MOVE RELAYS INTO ENGINE DEPARTMENT 1 ;shop -001 miscellaneous shop supplies 15.00: 15.00 WORK ORDER 461040 Serial Serial Subtotal $577.00 Sales Tax (7.0 $0.00 Total Invoice Amount $577.00 Received by Payment Received $0.00 Check# Authorization Code: i Bala Due $577.00 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)) 02/11/09 53128 $264.00 02/12/09 53147. $36.00 02/13/09 53187 $577.00 F 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. W/"% NO. ALLOWED 20 Mid -State Truck Equipment IN SUM OF 11020 Allisonville Road Fi8hers, IN 46038 $877.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 53128 42- 370.00 $264.00 1 hereby certify that the attached invoice(s), or 2201 53147 42- 370.00 $36.00 bill(s) is (are) true and correct and that the 2201 53187 42- 370.00 $577.00 materials or services itemized thereon for which charge is made were ordered and received except )r Fj iday, F jbruary 27 2009' ;j Street Title Cost distribution ledger classification if claim paid motor vehicle highway fund