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Home My WebLink About169075 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1 ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $869.64 CARMEL, INDIANA 46032 11020ALLISONVILLE RD FISHERS IN 46038 CHECK NUMBER: 169075 CHECK DATE: 2/17/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 52420 REPAIR PARTS 2201 4237000 52668 X43.06 REPAIR PARTS 2201 4237000 52795 ✓234.00 REPAIR PARTS 2201 4237000 52857 r 332.90 REPAIR PARTS MID -STATE TRUCK EQUIPMENT INC. Invoice 11020 Allisonville Road Invoice Number: Retail 001104675- 001 -0 52857 Fishers, IN 46038 Invoice Date: Phone: 317.849.4903 www.mid- statetruck.com 2/2/2009 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 Visa_ M/C 2%, AMEX Discover 3% MIKE NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date TMB P 2/2/2009 1 2/27/2009 Item Cod Descript Price Ea. Extension FQ NY 1 iNSCI 1103 1 DRIVER SIDE LENS 121.00 121.00 1 PARTS 1 AERO BEND 76.00 76.00 1 PARTS 1 AER ELBOW CAST 18.00 18.00 6, FIYD07042 HOSE,3 /8 "x42 ",1 /4 "MPx3 /8 "MP 19.65 i 117.90 i i l Serial Serial Subtotal $332.90 Sales Tax (7.0 $0.00 Received by Total Invoice Amount $332.90 Payment Received $0.00 Check# Authorization Code: Balance Due $332.90 Thank y ou for your business! MID -STATE TRUCK EQUIPMENT INC. Invoice 11020 Allisonville Road Invoice Number: Retail 001104675 -001 -0 52420 Fishers, IN 46038 Invoice Date: Phone: 317.849.4903 www.mid- statetruck.com 1/20/2009 Fax 317.849.6441 Bill To Ship To Cal V )'n C-DCfe'lF CARMEL UTILITIES 3450 W 131 ST. ST Westfield, IN 46074 -8267 �4' Handling charge added to Credit Customer P.O. No. Terms }Card orders over 500.00 Visa v v MIC 2 AMEX Discover- 3% NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date KE 1/20/2009 2/14/2009 Qty i_ Item Code D escription Price Ea. Extension 2 j MSC04294 RELAY, 12V 15.59 31.18 1 j PARTS 1 MISC. ELECT. CONNECTOR 2.00 2.00 2 j PARTS 1 TURN SIGNAL CONNECTOR 0.75 1.50 1 labor hourly labor /installation fee/REPAIR LIGHT ON 210.00 210.00 WESTERN PLOW TRUCK, REPLACED RELAYS, DIODE, JUMPER WIRE 1 shop -001 miscellaneous shop supplies 15.00 i 15.00 WORK ORDER #60954 j (CHEV 2500 HD 01 VIN:2E134677) Serial Serial Subtotal $259.68 Sales Tax (7.0 $0.00 Received by Total Invoice Amount $259.68 Payment Received $0.00 Check# Authorization Code: Balance Due $259.68 Thank you for your business! MID -STATE TRUCK EQUIPMENT INC. IYlV ®1Ce; 11020 Allisonville Road Invoice Number: Retail 0011 04675 -001 -0 52795 Fishers, IN 46038 Invoice Date: Phone: 317.849.4903 www. mid-statetruck.com 1/30/2009 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% SHOP NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date DM 1/30/2009 2/24/2009 Qty Item Code Description Price Ea. Extension 3' PARTS BOSS HOUSING 78.00 234.00 Serial Serial Subtotal $234.00 Sales Tax (7.0 $0.00 Total Invoice Amount $234.00 Received i Payment Received $0.00 Check# Authorization Code: aliance Due $234.00 7'hacnk you for your business! MID -STATE TRUCK EQUIPMENT INC. Invo ice 11020 Allisonville Road Invoice Number: Retail 001104675 -001 -0 52668 Fishers, IN 46038 Invoice Date: Phone: 317.849.4903 www.mid- statetriick.com 1/29/2009 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 orr!grc ove Afifsa- M/C 2 AMEX Discover- 3% SEWER DEPT NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date TMB P 1/29/2009 2/23/2009 Qty Item Cod Descr Price Ea i E xtensio n 2 STB09617 STRAIGHT BLADE TOUCH PAD 21.53 43.06 I I I I I I it I I I Serial Serial Subtotal $43.06 Sales Tax (7.0 $0.00 Received by Total Invoice Amount $43.06 Payment Received $0.00 Check# Authorization Code: Balance Due $43.06 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)) 01/20/09 52420 $259.68 01/29/09 52668 $43.06 01/30/09 52795 $234.00 02/02/09 52857 $332.90 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 N WARRA NO. ALLOWED 20 Mid -State Truck Equipment IN SUM OF 11020 Allisonville Road Fishers, IN 46038 $869.64 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 52420 42- 370.00 $259.68 1 hereby certify that the attached invoice(s), or 2201 52668 42- 370.00 $43.06 bill(s) is (are) true and correct and that the 2201 52795 42- 370.00 $234.00 materials or services itemized thereon for 2201 52857 42 370.00 $332.90 which charge is made were ordered and received except F�I ay, Fedr ary�7 A 009 Street issionerriss Title Cost distribution ledger classification if claim paid motor vehicle highway fund