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Home My WebLink About215370 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1 0 ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $44.00 CARMEL, INDIANA 46032 11020 ALLISONVILLE RD FISHERS IN 46038 CHECK NUMBER: 215370 CHECK DATE: 12111/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 69381 29 . 00 TRANSPORTATION EXPENS 2201 4237000 69473 15 . 00 REPAIR PARTS MID-STATE TRUCK EQUIPMENT Invoice 11020 Allisonville Road a Invoice Number:.. Retail#: 001104675-001-0 "' ' ""` prr- 69473 Fishers, IN 46038 Masi-stmo Truck Equipment Invoice Date: aisc9 xss§a2stf Phone: 317.849.4903 Fax 317.849.6441 www.mid-statetruck.com 11/29/2012 : BIII To Ship To CARMEL STREET DEPARTMENT 3400 West 131 Street WESTFIELD, IN 46074 F ndling charge added to Credit Customer P.O. No. Terms rd orders over$500.00: 2.5% on — --a - _ r:'R�. -2- - _ NET 25 Days Visa, 117,C,,4r1r1EX 1L Drscover--- � .: �. - - --- -�-- -- = - �� Sales Rep ID Shipping Method Ship Date Due Date CAG cust. pick-up 11/29/2012 12/24/2012 Qty Item Code Description Price Ea. Extension 2:PARTS 1 KOHLER GASKETS 1.00 2.00 4.PARTS 1 MASTER LINKS 3.25 13.00 i Serial# Serial# Subtotal $15.00 Sales Tax (7.0%) $0.00 Total Invoice Amount $15.00 Received by v Payment Received $0.00 Check#/Authorization Code: Balance Due $15.00 Thank y®u fir your business! VOUCHER NO. WARRANT NO. ALLOWED 20 Mid-State Truck Equipment IN SUM OF $ 11020 Allisonville Road Fishers, IN 46038 $15.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 I 69473 I 42-370.001 $15.00 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 Friday, [,LVmbes07�p2012 StjSteetGCommiss Commissioner 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)) 11/29/12 69473 $15.00 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 MID-STATE TRUCK EQUIPMENT Invoice 11020 Allisonville Road '" ry ..:y Invoice Number: e....L e �;r Retail#: 001104675-001-0 x s 69381 Fishers, IN 46038 P+I�A•id- tt SC c5 .F ruck Equtpinc►+t L Invoice Date: Inc1,►+;pois Phone: 317.849.4903 rvW)V.1iii 1i-.liatc Fui.K.cam �LL'�-'J i& Fax : 311 7.049.6441 Bill To Ship To CARMEL WASTEWATER UTILITIES 760 THIRD AVENUE S.W. SUITE 110 CARMEL, IN. 46032 Handling charge added to Credit Customer P.O. No. Terms Card orders over$500.00: 2.5% on Visa, M/C,AMEX&Discover NET 25 Days Sales Rep ID Shipping Method j Ship Date Due Date CAG Gust. pick-up 11/21/2012 i 12/16/2012 Qty Item Code Description Price Ea. ! Extension solenoid for snow low re 1. 29.00 - - 0 1 ;solenoid � p ( p ) ! 29.00 j I i I, NOV a 2otz 61NAL 711500. 0-2 Y�3 ia` Serial# Subtotal $29.00 Sales Tax (7.0%) $0.00 Received by Total Invoice Amount $29.00 Payment Received $0.00 Check#/Authorization Code: Balance Due $29.00 Thank you for your business! VOUCHER # 126277 WARRANT # ALLOWED 201250 IN SUM OF $ MID STATE TRUCK EQUIP CORP 11020 ALLISONVILLE RD FISHERS, IN 46038 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 69381 01-7500-02 $29.00 Voucher Total $29.00 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 12/6/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/6/2012 69381 $29.00 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 iL,A /ii C,--,( �"--= Date Officer