HomeMy WebLinkAbout214744 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
`I. ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $49.00
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD
FISHERS IN 46038 CHECK NUMBER: 214744
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 69142 49 . 00 REPAIR PARTS
MID-STATE TRUCK EQUIPMENT w Invoice
11020 Allisonville Road Invoice Number:
Retail#: 001104675-001-0 µ
69142
Fishers, IN 46038
M:c1 a(.l;c T:xrK�* Fc�aiip:i�c tit Invoice Date:
Phone: 317.849.4903
www.mid-statetruck.com 11/5/2012
Fax : 317.849.6441
Bill To Ship To
CARMEL STREET DEPARTMENT
)400 West 131 Street
W ESTFIELD, IN 46074
Handling charge added to Credit m Customer P.O. No. ! Terms
Card-orders over$500.00=2.5%-on—_w._- -
Visa, MIC, AMEX& Discover JEFF STEWART NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
CAG cust. pick-up 11/5/2012 11/30/2012 `
Qty Item Code Description Price Ea. Extension
I PARTS 1 18806 REFLECTIVE TAPE 49.00 49.00
Serial #
Serial # Subtotal $49.00
Sales Tax (7.0%) $0.00
Received by Total Invoice Amount $49.00
Payment Received $0.00
Check# /Authorization Code: Balance Due $49.00
Thank you for your business!
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid-State Truck Equipment
IN SUM OF $
11020 Allisonville Road
Fishers, IN 46038
$49.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 69142 I 42-370.001 $49.00 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
Thursday, November 15, 2012
AA��I� ,v �/ r���
x /1
Street Commissioner
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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))
11/05/12 69142 $49.00
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