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Home My WebLink About216453 01/15/2013 °�~f CITY CIF CARMFL, INDIANA VENDOR: 201250 Page 1 of 1 ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $2,432.66 CARMEL, INDIANA 46032 11020 ALLISONVILLE RD o� FISHERS IN 46038 CHECK NUMBER: 216453 CHECK DATE: 1/15/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 70555 75 . 00 REPAIR PARTS 2201 4467099 70568 2, 200 . 00 OTHER EQUIPMENT 2201 4237000 70617 157 . 66 REPAIR PARTS MID-STATE TRUCK EQUIPMENT Invoice 11020 Allisonville Road Invoi Number: Retail#: 001104675-001-0 ^} i 70555 w. Fishers, IN 46038 1'tt-s"`o,Truck f qutipmenc dLimi 041% Invoice Date. Phone: 317.849.4903 r_11 Fax : 317.849.6441 www.mid-statetruck.com 1/4/2013 Bill To Ship To CARMEL STREET DEPARTMENT 3400 West 131 Street WESTFIELD, IN 46074 d -Hatidlin-g-charge-added-to-Cre�it-- Customer P.O. No. Terms - Card orde over$500.00: 2.5%.on Visa, MIC, 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 MSC04581 WEATHER CAP KIT 15.00. . 75.00 .......... Serial# Serial# Subtotal $75.00 Sales Tax (7.0%) $0.00 Received by )6 Total Invoice Amount $75.00 Payment Received $0.00 Check#/Authorization Code: Balance Due $75.00 -ipi"T nankyouforyour business! MID-STATE TRUCK EQUIPMENT 7-- Invoice 11020 Allisonville Road Invoice Number: Retail#: 001104675-001-0 70568 Fishers, IN 46038 kig-stac_a) rUck Equipment Invoice Date: ' Phone: 317.849.4903 Fax : 317.849.6441 www.mid-statetruck.com 1/4/2013 Bill To Ship To CITY OF CARMEL Dave Huffman ONE CIVIC SQUARE CARMEL, IN 46032 Handling charge added to Credit Customer P.O. No. Terms Card orders over$500.00: 2.5%on Visa, MIC,AMEX&Discover Verbal Dave NET 25 Days Sales Rep ID Shipping Method Ship Date 1 Due Date JK cust. pick-up 1/4/2013 1/29/2013 LW11 Item Code Description Price Ea. 1 Extension 1 !B-8 I BOSS 8' skid steer push box 1 2,350.001 2,350.00 1 DISCOUNT QUALIFIED CUSTOMER DISCOUNT. -150.001 -150.00 --Municipal discount I ' I. I Serial# Serial# Subtotal $2,200.00 Sales Tax (7.0%) $0.00 Received byz� Total Invoice Amount $2,200.00 Payment Received $0.00 Check#/Authorization Code: Balance Due $2,200.00 Thank you for your business! MID-STATE TRUCK EQUIPMENT Invoice 111-V117 11020 Allisonville Road 7 7 Invoice Number: Retail#: 001104675-001-0 70617 Fishers, IN 46038 Invoice Date: Phone: 317.849.4903 Fax : 317.849.6441 www.mid-statetruck.com 1/7/2013 Bill To Ship To CARMEL STREET DEPARTMENT 3400 West 131 Street WESTFIELD, IN 46074 Handlinq charge added to Credit Customer P.O. No. Terms Card orders over$500.00: 2.5%on Visa, MIC, AMEX&Discover shop NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date cis cust. pick-up 1/7/2013 2/1/2013 ................................... Qty Item Code Description Price Ea. Extension 22 HYDO 1684 CABLE,PWR/GRD 9011 LONG 50.50. 101.00 2 14YD0 1690 CABLE,PWR/GRD 36" LONG 28.33 56.66 .......... Serial# Serial# Subtotal $157.66 Sales Tax (7.0%) $0.00 Total Invoice Amount $157.66 Received b�/ Payment Received $0.00 Check# Authorization Code: Balance Due $157.66 nrnlr _1 ankyouforyour business! VOUCHER NO. WARRANT NO. ALLOWED 20 Mid-State Truck Equipment IN SUM OF $ 11020 Allisonville Road Fishers, IN 46038 $2,432.66 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 70555 42-370.00 $75.00 1 hereby certify that the attached invoice(s), or 2201 70568 2201-670.9 $2,200.00 bill(s) is (are)true and correct and that the 2201 70617 42-370.00 $157.66 materials or services itemized thereon for which charge is made were ordered and received except F l� i'FridayflJanuary�11, 2013 J'rS�rteet ommissioper 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 01/04/13 70568 $2,200.00 01/07/13 70617 j $157.66 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