HomeMy WebLinkAbout214368 11/07/2012 a CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP
0 : CHECK AMOUNT: $394.47
CARMEL, INDIANA 46032 11020ALLISONVILLE RD
FISHERS IN 46038 CHECK NUMBER: 214368
CHECK DATE: 1117/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 69088 394 .47 REPAIR PARTS
MID-STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road Invoice Number:
Retail#: 001104675-001-0 69088
Fishers, IN 46038
Invoice Date:
Phone: 317.849.4903
Fax : 317.849.6441 ivwiv.mid-state1ruck.com 10/30/2012
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, MIC, AMEX& Discover Y JEFF STEWART NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
cult. pick-up 10/30/2012 11/24/20 12
Qty Item Code Description Price Ea. Extension
121 HYDOIL-001 PLOW LOW TEMP HYD FLUID(QT) 8.00 96.00
1 NISC04733 TURN SIGNAL (BOSS) 38.97 38.97
2 PARTS 1 103-4202 western cylinder 109.80 219.60
PARTS I PLOW GUIDES BUYERS 19.95 39.90
Serial#
Subtotal $394.47
Serial#
Sales Tax (7.0%) $0.00
Total Invoice Amount $394.47
Received bv
Payment Received $0.00
Balance Due $394.47
Checkh Authorization Code:
Thank you for' your business!
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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
I
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/30/12 69088 $394.47
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid-State Truck Equipment
IN SUM OF $
11020 Allisonville Road
Fishers, IN 46038
$394.47
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 I 69088 I 42-370.001 $394.47 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
Thursday, Nbvember 01, 2012
Ij
Street Commissioner
Street ComnTifleioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund