HomeMy WebLinkAbout209259 05/22/2012 \,F 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: $151.84
FISHERS IN 46038 CHECK NUMBER: 209259
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 67635 151.84 OTHER EXPENSES
MID -STATE TRUCK EQUIPMENT Invoice
In-
11020 Allisonville Road Invoice Number:
Retail 001104675 -001 -0" 67635
Fishers, IN 46038 M td ;c 6c Tr tick Fgwipr,c it(
Invoice Date:
Phone: 317.849.4903 4/27/2012
www.mid-statetruck.com
Fax 317.849.6441
Bill To Ship To
CARMEL WASTEWATER UTILITIES
760 THIRD AVENUE S.W.
St.'ITE 110
CARMEL. IN. 46032
Handling charge added to Credit k Customer P.O. No. Terms
Card orders over $500:00.- 2:5%—on y
Visa M /C. AMEX Discover NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
TMB P 4/27/2012 5/22/2012
Qty Item Code Description Price Ea. Extension
1 PARTS 1 DIXIECHOPPER 300442 CENTER HUB ASSEMBLY 139.99 139.99
3 PARTS 1 DIXIE CHOPPER BLADE BOLTS 3.95 11.85
Serial
Subtotal $151.84
Serial
Sales Tax (7.0 $0.00
Total Invoice Amount $151.84
Received by Payment Received $0.00
Balance Due $151.84
Check Authorization Code:
T hanky ®u for your business!
i
VOUCHER 117281 WARRANT ALLOWED
201250 IN SUM OF
MID STATE TRUCK EQUIP CORP
11020 ALLISONVILLE RD
FISHERS, IN 46038
i
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
67635 01- 7502 -06 $151.84
Voucher Total $151.84
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 5/4/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/4/2012 67635 $151.84
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
e