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Home My WebLink About216122 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1 ' ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $151.24 CARMEL, INDIANA 46032 11020 ALLISONVILLE RD „off�o FISHERS IN 46038 CHECK NUMBER: 216122 CHECK DATE: 119/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 69892 76 . 24 OTHER EXPENSES 2201 4237000 70555 75 . 00 REPAIR PARTS MID-STATE TRUCK EQUIPMENT A.,`" <, .u.,, Invoice 11020 Allisonville Road Invoice Number: Retail#: 001104675-001-0 g, , 70555 Fishers, IN 46038 Mid-Scat 'Trwk Eq'wPrracnt Invoice Date: iradr.tn.t �i4rs Phone: 317.849.4903 Fax ww,w.mid-statetruck.com 1/4/2013 -. 317.849.6441 Bill To Ship To CARMEL STREET DEPARTMENT 3400 West 131 Street WESTFIELD, IN 46074 Handlinq charge added to CredEon Customer P.O. No. Terms Card orders over$500.00: 2%%. ---- - - --®w Visa, M/C, AMEX& Discover NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date TMB P 1/4/2013' 1/29/2013 _ __.. ....... ... - - __ ....... Qty Item Code Description Price Ea. Extension 5 i MSC04581 WEATHER CAP KIT 15.00: 75.00 Serial# Serial # Subtotal $75.00 Sales Tax (7.0%) $0.00 Received by Total Invoice Amount $75.00 Payment Received $0.00 Check#/Authorization Code: �al�r9C@ ®l9@ $75.00 I hanky®u for your business! VOUCHER NO. WARRANT NO. ALLOWED 20 Mid-State Truck Equipment IN SUM OF $ 11020 Allisonville Road Fishers, IN 46038 $75.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 I 70555 I 42-370.001 $75.00 I 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 January 04, 2013 a Street 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)) 01/04/13 70555 $75.00 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 M Invoice 11020 Allisonville Road �" e -s' Invoice Number: Retail#: 001104675-001-0 t. 1 ° � 69892 Fishers, IN 46038 E K 1+ .St,tc:Truck kquipment Invoice Date: tnaa►,pviw Phone: 317.849.4903x' Fax : 317.849.6441 www.mid-statetrucl-com 12/20/2012 Bill To Ship To CARMEL UTILITIES 3450 W 131 ST. ST Westfield, IN 46074-8267 Handling charge added to Credit Customer P.O. No. Terms Card orders over$500.00: 2.5% on Visa, M/C,AMEX&Discover TRUCK103 NET 25 Days Sales Rep ID Shipping Method Ship Date j Due Date CJS ;i cust. pick-up 12/20/2012 1/14/2013 Qty Item Code Description Price Ea. Extension 2 MSC01570 1 SHOE,PLOW,CAST IRON W/HDWR 38.121 76.24 I i i 4hly yt«t�v17 i I .,..• '•�••Q./ �J^'3/jy[�b•R3 ��Lt'r�.^.�t.'D I io�'L;4'..M1• .,e++ti.�'3-!d`.'tr.•>a�lF..-►�:ts.�i-'.r+� 1 ' it i � ROB i i i I i I I i I I i Senal-# - -- ---- ------ -------- - - -- -- - --- - -- - - -- --- - - - Serial # Subtotal $76.24 Sales Tax (7.0%) $0.00 Total Invoice Amount $76.24 Received by Payment Received $0.00 Check# /Authorization Code: Balance Due $76.24 Thank you for your business! VOUCHER # 123113 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 i 9 s Board members AO # INV# ACCT# AMOUNT Audit Trail Code 69892 01-6500-04 $76.24 Voucher Total $76.24 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 12/29/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/29/201: 69892 $76.24 I hereby certify that the attached invoice(s), or bill(s) is (are) true and -orrect and I have audited same in accordance with IC 5-11-10-1.6 Date Officer