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Home My WebLink About213570 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1 ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $1,918.90 CARMEL, INDIANA 46032 11020 ALLISONVILLE RD FISHERS IN 46038 CHECK NUMBER: 213570 CHECK DATE: 10/9/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 68735 216 . 90 OTHER EXPENSES 601 5023990 68754 275 . 00 OTHER EXPENSES 2201 4237000 68757 579 . 00 REPAIR PARTS 2201 4237000 68774 848 . 00 REPAIR PARTS MID-STATE TRUCK EQUIPMENT Invoice 11020 Allisonville Road FV Invoice Number: Retail#: 001104675-001-0 68774 Fishers, IN 46038 M-c9 Invoice Date: Phone: 317.849.4903 www.mid-statetruck.com 10/3/2012 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: 2.5% on Visa, M/C, AMEX& Discover SHOP NET 25 Days Sales Rep ID ! Shipping Method Ship Date Due Date j TMB P —— — —' 10/3/2012 10/28/2012 Qty Item Code Description Price Ea. Extension 4 STB09602 CONTROL, HANDHELD, SMARTOUCH2, STB 212.00 848.00 BLADE i i i i e Serial # Serial# Subtotal $848.00 Sales Tax (7.0%) $0.00 Received b � D7 Total Invoice Amount $848.00 y Payment Received $0.00 Check# / Authorization Code: Balance Due $848.00 Thank you for your business! MID-STATE TRUCK EQUIPMENT .,.,yF -.. ... Invoice 11020 Allisonville Road """' Invoice Number: Retail#: 001104675-001-0 68757 Fishers IN 46038 � Invoice Date: Phone: 317.849.4903 www.mid-statetruck.com 10/2/2012 Fax : 317.849.6441 BIII 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: 2.5% on - Visa, M/C. AMEX& Discover 0091215 NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date CAG 10/2/2012 10/27/2012 Qty Item Code Description Price Ea. Extension 6 PARTS I 901560 cusion valves 94.00 564.00 I FREIGHT-01 FREIGHT/SHIPPING 15.00 15.00 I I I i I I i Serial # Serial# Subtotal $579.00 Sales Tax (7.0%) $0.00 Total Invoice Amount $579.00 Received by Payment Received $0.00 Check#/Authorization Code: Balance Due $579.00 Thank you for your business! VOUCHER NO. WARRANT NO. ALLOWED 20 Mid-State Truck Equipment IN SUM OF $ 11020 Allisonville Road Fishers, IN 46038 — $1,427.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 68757 42-370.00 $579.00 1 hereby certify that the attached invoice(s), or 2201 68774 42-370.00 $848.00 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 /Fri /October 05, 2012 Street Commissioner C+.nat(rnmmiccinnor Title Cost distribution ledger classification if claim paid motor 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 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)) 10/02/12 68757 $579.00 10/03/12 68774 $848.00 hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance vith IC 5-11-10-1.6 , 20 Clerk-Treasurer MID-STATE TRUCK EQUIPMENT Invoice 11020 Allisonville Road Invoice Number: Retail#: 001104675-001-0 68735 Fishers, IN 46038 Invoice Date: Phone: 317.849.4903 www.mid-I statetruck.com 10/1/2012 Fax : 317.849.6441 Bill To Ship To CARMEL WATER DISTRIBUTION 3450 W. 131 st St. Westfield. IN 46074-8267 ....e._.....__....... Handlinq charge added to Credit Customer P.O. No. Terms Card orders over-$500;00:2.-5%-on Visa, MIC, AMEX&Discover trk#103 NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date CAG cust. pick-up 10/1/2012 1 10/26/2012 Qty Item Code Description Price Ea. Extension 2 BAX00098 CUTTINGEDGE HALF,81211 V RT3 86.00: 172.00 I BAX00096 CUTTINGEDGE BOLT KIT, 5/8", 10 PER 21.95 21.95 I HYD01638 VALVE,ELECTRIC COIL (12V) 22.95 : 22.95 Serial# Serial# Subtotal $216.90 Sales Tax (7.0%) $0.00 Received bxz Total Invoice Amount $216.90 Payment Received $0.00 V .90 Check#/ Authorization Code: Balance Due $216 Thank you foryour business! MID-STATE TRUCK EQUIPMENT -. Invoice 11020 Allisonville Road Invoice Number: Retail#: 001104675-001-0 ro 68754 Fishers, IN 46038 .. !-4ec1 a.+¢+ T.wk F+i.,y:,,e_,: Invoice Date: Phone: 317.849.4903 www.mid-statetruck.com 10/1/2012 Fax : 317.849.6441 Bill To Ship To CARMEL WATER DISTRIBUTION 3450 W. 131 st St. Westfield, IN 46074-8267 Handlinq charge added to Credit Customer P.O. No. Terms ;Card orders over$500.00: 2.5% on __. .. ...____.............___....._ ....._..._._....._ ___ _. ._. __... ....._.__..._......_.._e._. ___e___... ..._...___._ -_ _..._... Visa, M/C, AMEX& Discover JA010212 NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date j TMB P 1 10/1/2012 10/26/2012 Qty Item Code Description Price Ea. Extension 1 MSC09601 CONTROL, HANDHELD, SMARTOUCH2, V 275.00' 275.00 �! BLADE RECEIN _/7T- i DXI S P0*,V 2 I i I � Serial # Serial # Subtotal $275.00 Sales Tax (7.0%) $0.00 Total Invoice Amount $275.00 Received by Payment Received $0.00 Check# / Authorization Code: Balance Due $275.00 Thank you for your business! VOUCHER # 122306 WARRANT# ALLOWED 201250 IN SUM OF $ MID STATE TRUCK EQUIP CORP 11020 ALLISONVILLE RD FISHERS, IN 46038 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code x68735 01-6500-04 $216.90 �Vi5q i Voucher Total j� -90 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 10/3/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/3/2012 68735 $216.90 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 Date Officer