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Home My WebLink About217261 02/13/2013 *f CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1 ` ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK AMOUNT: $87.45 FISHERS IN 46036 CHECK NUMBER: 217261 CHECK DATE: 2/1312013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 70909 50 . 15 OTHER EXPENSES 2201 4237000 71007 37 . 30 REPAIR PARTS MID-STATE TRUCK EQUIPMENT ro Invoice 11020 Allisonville Road Invoice Number: Retail#: 001104675-001-0 71007 Fishers, IN 46038 v,= Mliel:gec�TraCKge2ip �Ctic Invoice Date: lndia�gkas Phone: 317.849.4903 Fax : 317.849.6441 www.mid-statetruck.com 1/31/2013 Bill To Ship To CARMEL STREET DEPARTMENT 3400 West 131 Street WESTFIELD, IN 46074 Handlin_g charge added to Credit Customer P.O. No. Terms Card orders over$500.00: 2.5% on — Visa. M/C, AMEX& Discover TRUCK200 NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date CJs Gust. pick-up /25/2013 - - .__..._ _..__... ._.._.. ..................... ........... Qty Item Code Description Price Ea. Extension ........... . ........................................_... ... ........... ............................................ ........ 2 PARTS 1 5153XBA 13.65 . 27.30 1 PARTS DRIVETRAIN YOKE 10.00 10.00 i Serial# Serial# Subtotal $37.30 Sales Tax (7.0%) $0.00 lReceived by Total Invoice Amount $37.30 Payment Received $0.00 Check#/Authorization Code: Balance Due $37.30 Thank y®u for your business! 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)) 01/31/13 71007 $37.30 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 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Mid-State Truck Equipment IN SUM OF $ 11020 Allisonville Road Fishers, IN 46038 $37.30 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 1 71007 I 42-370.001 $37.30 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 F Frid Feb 08, 2013 Street Commissio Stree Title Cost distribution ledger classification if claim paid motor vehicle highway fund -------------------- ------------------------------ 'a MID-STATE TRUCK EQUIPMENT ` 11020 Allisonville Road ' - Invoice Retail#: 001104675-001-0Y ... Fishers, IN 46038 r Invoice Number: ,M xF 70909 Mit!SC1C��T+'11Ckylli�rtlCetC Phone: 317.849.4903 Indi it,p�,e4 Invoice Date: Fax : 317.849.6441 www.mid statetruck.com 1/2s/2013 Bill To CARMEL WASTEWATER UTILITIES Ship To 760 THIRD AVENUE S.W. SUITE 110 CARMEL, IN. 46032 Hand/in ch ar a added to credit Card orders over 500.00: 2.5% on Customer P.O. No. Visa M/C AMEX a Discover Terms JA012513D Sales Rep ID Shipping Method Ship Date T 25 Days I _ CJS e Due Date oust. pick-up ........ .. . Qty i Item Code -- --- -- — _ 1/25/2013 Description 2/19/20 13 2 MSC01509 Price Ea ........... . .. .. .. SPRING,TRIP/RETURN Extension 1 HDW01744 YE BOLT SET, 1/2" SPADE (2) W/NUTS 20.95 41.90 8.25 8.25 I � II " f i .w 1 I jf i : : I : i Serial# --- ...._.. -- ------........... ... Serial# Subtotal $50.15 Sales Tax (7.0%) $0.00 Received by Total Invoice Amount _ i $50.15 Payment Received $0.00 Check#/Authorization Code: _ Balance Due $sass 'hank y®u for your business! 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 2/2/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/2/2013 70909 $50.15 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 Date Officer VOUCHER # 123458 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 Board members PO # INV# ACCT# AMOUNT Audit Trail Code 70909 01-6500-04 $50.15 Voucher Total $50.15 Cost distribution ledger classification if claim paid under vehicle highway fund