HomeMy WebLinkAbout168117 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP
CHECK AMOUNT: $29.95
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD
FISHERS IN 46038 CHECK NUMBER: 168117
CHECK DATE: 1/21/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350000 51685 29.95 EQUIPMENT REPAIRS M
I
MID -STATE TRUCK EQUIPMENT INC Invoice
11020 Allisonville Road Invoice Number:
Retail 001104675 -001 -0 51685
Fishers, IN 46038
Invoice Date:
Phone: 317.849.4903 www. mid- statetruck. coni
12/10/2008
Fax 317.849.6441
Bill TO Ship To
CARMEL CLAY SCHOOLS
5201 East 131 st Street
Carmel, IN 46032
4'
ff arge added to Credit Customer P.O. No. Terms
over $500.00: Visa
EX Discover 3% NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
TMB P 12/10/2008 1/4/2009
Qty Item Code Description Price Ea. Extension
1 D6113 FEMALE SPLICE CORD 18" (HARNESS 29.95 29.95
6114/7121)
r
Gny
Purchase
Descript�n �r
P.O.# PorF
G.L LDI 11R5_- �(3S 00 c>p i DEC 1 2008
Budget I
Line Descr ---_JI
Purchaser Date
APProval Date Zz 22. V
Serial
Serial Subtotal $29.95
Sales Tax (7.0 $0.00
Received by
Total Invoice Amount $2995
Payment Received $0.00
Check# Authorization Code: Balance D ue $29.95
Thacnk y ou fo your business
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
201250 Mid -State Truck Equipment, Inc. Terms
11020 Allisonville Road
Fishers, IN 46038
i
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/10/08 51685 Splice cord for salt spreader 29.95
Total 29.95
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
,20
Clerk- Treasurer
Voucher No. Warrant No.
201250 Mid -State Truck Equipment, Inc. Allowed 20
11020 Allisonville Road
Fishers, IN 46038
In Sum of$
29.95
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 51685 4350000 29.95 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
2 -Jan 2009
Signature
29.95 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund