HomeMy WebLinkAbout217742 02/26/2013 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: $513.10
FISHERS IN 46038 CHECK NUMBER: 217742
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 71208 493 . 10 REPAIR PARTS
2201 4237000 71228 20 . 00 REPAIR PARTS
MID-STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road s 3 Invoice Number:
Retail#: 001104675-001-0
71208
Fishers, IN 46038
Mod-SCAM F'Trw Eq' U1P1"CnC Invoice Date'.
Phone: 317.849.4903
www.mid-statetruck.com 2/20/2013
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, MIC,AMEX&Discover SHOP NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
.... ............................................. .............. ...........!. ........................... ..........
cis cust. pick-up 2/19/2013 3/17/2013
............ ...................................................................... ............... .................................. ......
Qty i Item Code Description Price Ea. Extension
4±HYD09731 BOSS ANGLE CYLINDER-STRAIGHT BLADE 120.00 480.00
2:HYD07018 FIT,90 DEG SVVVL,3/8"MPx3/8"FPS 6.55 : 13.10
Serial#
Serial# Subtotal $493.10
Sales Tax (7.0%) $0.00
�D� Total Invoice Amount $493.10
Receiv Payment Received $0.00
Check# Authorization Code: Balance Due $493.10
Thank youforyour business!
MID-STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road Invoice Number:
Retail#: 001104675-001-0 71228
Fishers, IN 46038
Invoice Date:
Phone'. 317.849.4903
Fax - 317.849.6441 www.mid-statetruck.com 2/21/2013
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: 2E.V%oon]
Visa, MIC,AMEX&Discover SHOP NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
TMB P 2/21/2013 3/18/2013
Qty ; Item Code Description Price Ea. Extension
—-----------—--------
1 STB09617 STRAIGHT BLADE TOUCH PAD 20.00 20.00
Serial#
Serial # Subtotal $20.00
Sales Tax (7.0%) $0.00
Received by Total Invoice Amount $20.00
� P Payment Received $0.00
Check#/Authorization Code: FBalance Due $20.00
Thank you for your business!
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid-State Truck Equipment
IN SUM OF $
11020 Allisonville Road
Fishers, IN 46038
$513.10
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 71208 42-370.00 j $493.10 1 hereby certify that the attached invoice(s), or
2201 71228 42-370.00 $20.00 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
Fri y, 57hruary 22, 2013
0
Street Co mi j 4e r
Street COmM18sioner
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))
02/20/13 71208 $493.10
02/21/13 71228 $20.00
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
20
Clerk-Treasurer