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Home My WebLink About208383 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1 ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $1,622.83 CARMEL, INDIANA 46032 11020 ALLISONVILLE RD FISHERS IN 46038 CHECK NUMBER: 208383 CHECK DATE: 4125/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 67407 218.83 REPAIR PARTS 1120 4351000 24318 67571 1,404.00 MID -STATE TRUCK EQUIPMENT W4 Invoice 11020 Allisonville Road Invoice Number: Retail 001104675 -001 -0 67407 Fishers, IN 46038 H d T,. tz k FgIwipm, :,c Invoice Date: Phone: 317.849.4903 www.mid-statetruck.com 4/4/2012 Fax 317.849.6441 Bill To Ship To CARMEL STREET DEPARTMENT 3400 Vilest 131 Street WESTFIELD, IN 46074 k Handling charge added to Credit Customer P.O. No. Terms. Card girders over $500:00: 2 5 on Visa M /C, AMEX Discover MIKE NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date CAG 4/4/2012 4/29/2012 Qty Item Code Description P rice Ea. Ext ension 4 PARTS] 900220 SEAT BELT 48.55 194.20 1 PARTS] 40117-1 FUEL CAP 24.63 24.63 I I i i Serial Serial Subtotal $218.83 Sales Tax (7.0 $0.00 Total Invoice Amount $218.83 Received by Payment Received $0.00 Check# Authorization Code: B alanc e Due $218.83 Thacnk 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)) 04/04/12 67407 $218.83 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 N WA NO. ALLOWED 20 Mid -State Truck Equipment IN SUM OF 11020 Allisonville Road Fishers, IN 46038 $218.83 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 2201 I 67407 I 42- 370.001 $218.83 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 Thursda�y�April 19, 2012 M Street Commis lo�er Street Corr Cost distribution ledger classification if claim paid motor vehicle highway fund MID-STATE TRUCK EQUIPMENT Invoice 11020 Allisonville Road Invoice Number: Retail#: 001104675-001-0 67571 Fishers, IN 46038 mod-Scu ruc Equipment Invoice Date: P 's i.-ml *1ij Phone: 317.849.4903 Fax 317.849.6441 www.mid-statetruck.com 4/19/2012 Bill To Ship To CARMEL FIRE DEPARTMENT BOB VAN VOORST 2 Civic Square Carmel, IN 46032 Handling charge added to Cre5t Customer P.O. No. Terms Card orders over S500.00::2.5% on Visa, MIC, AMEX Discover PUB-ED-TRUCK-BOB V. NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date MRR cust. pick-up 4/19/2012 5/14/2012 Qty Item Code Description Price Ea. Extension I EQUIP. GORILLA SLIDE 2000-XT 1,179.00 1,179.00 --2000LB CAPACITY --MODEL 4312-003; FITS 2000 C2500HD, 6.5' BED labor hourly labor/installation fee 75.00 225.00 --INSTALL GORILLA SLIDE 2000-XT ON 2000 C250OHD Serial Serial Subtotal $1,404.00 Sales Tax (7.0%) $0.00 Total Invoice Amount $1,404.00 Receivedby Payment Received $0.00 Check# Authorization Code: Balance Due $1,404.00 .'hank nankyouforyour 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)) 67571 $1,404.00 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. Mid States Truck Equipment ALLOWED 20 IN SUM OF 11020 Allisonville Road Fishers, IN 46038 $1,404.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 24318 I 67571 I 43- 510.00 I $1,404.00 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 APR 2 3 2012. P d A Fyn 6 1 g 1 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund