HomeMy WebLinkAbout215104 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $2,207.08
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD
FISHERS IN 46038 CHECK NUMBER: 215104
CHECK DATE: 12/412012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 69423 2, 207 . 08 REPAIR PARTS
MID-STATE TRUCK EQUIPMENT _ I ,, r: Invoice
194020 Allisonville Road ' ~ °`' ="'"" Invoice Number:
Retail#: 001104675-001-0 69423
Fishers, IN 46038 ;;;egc�ce�Truek£�eiprficnc
�i+a.�iapceis Invoice Date:
Phone: 317.849.4903
www.mid-statetruck.com 11/27/2012
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
TMB P 11/27/2012 12/22/2012
Qty Item Code Description Price Ea. Extension
12 MSC04753 CONNECTOR PIG TAIL, 13 PIN, VEH SIDE 44.40 532.80
12 MSC04754 CONNECTOR PIG TAIL, 13 PIN,PLOW SIDE 44.33 531.96
6 STB03220 KICKSTAND,LEG,STR BLD RT3 25.62 153.72
6 MSC03807 SPRING PIN KIT, KCKSTD RT3 11.25 67.50
12 HYD01633 POWER UNIT SOLENOID KIT-BARNES 28.95 347.40
6 HYD01638 VALVE,ELECTRIC COIL (12V) 22.95 137.70
4 PARTSI BUYERS.HCR050 10GPM CROSSOVER VALVE 109.00 436.00
Serial#
Serial# Subtotal $2,207.08
Sales Tax (7.0%) $0.00
Total Invoice Amount $2,207.08
Received by
Payment Received $0.00
Check#/Authorization Code: Balance Due $2,207.08
Thank you for your business!
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid-State Truck Equipment
IN SUM OF $
11020 Allisonville Road
Fishers, IN 46038
$2,207.08
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 69423 I 42-370.001 $2,207.08 1 hereby certify that the attached invoice(s), or
1 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
;mot Thursday,�November29, 2012
Street Commissioner
I d
Street So M rl itle over
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))
11/27/12 69423 $2,207.08
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