HomeMy WebLinkAbout208805 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK AMOUNT: $269.58
FISHERS IN 46036
CHECK NUMBER: 208805
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 67608 269.58 TRANSPORTATION EXPENS
MID -STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road Invoice Number:
Retail 001104675 -001 -0
Fishers, IN 46038
tq,a -s 1ce Truck Equipment 67608
16dotsap -41% Invoice Date:
Phone: 317.849.4903
Fax 317.849.6441
www.mid- statetruck.com 4/24/2012
Bill To Ship To
CARMEL WASTEWATER UTILITIES
760 THIRD AVENUE S.W.
SUITE 110
CARMEL, IN. 46032
Handling charge added to Credit Customer P.O. No. Terms
Card _orders_over_$500.00:- 2.5 -on
Visa. M /C. AMEX Discover S13089 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
DM 4/24/2012 5/19/2012
Qty Item C ode D escript ion Pric Ea E xtension
2 PARTS 1 300441 OTTER SPINDLE ASSEMBLY 134.79 269.58
Serial
Serial Subtotal $269.58
Sales Tax (7.0 $0.00
Received by alp Total Invoice Amount $269.58
T, Payment Received $0.00
Check# Authorization Code: Balance Du $269.58
i nank,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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
201250
MID STATE TRUCK EQUIP CORP Purchase Order No.
11020 ALLISONVILLE RD Terms
FISHERS, IN 46038 Due Date 4/30/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/30/2012 67608 $269.58
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 117236 WARRANT ALLOWED
201250 IN SUM OF
MID STATE TRUCK EQUIP CORP
11020 ALLISONVILLE RD
FISHERS, IN 46038
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
67608 01- 7502 -06 $269.58
Voucher Total $269.58
Cost distribution ledger classification if
claim paid under vehicle highway fund