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Home My WebLink About218159 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1 ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CARMEL, INDIANA 46032 11020ALLISONVILLE RD CHECK AMOUNT: $297.69 FISHERS IN 46038 CHECK NUMBER: 218159 CHECK DATE: 3/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 71399 48 . 95 OTHER EXPENSES 2201 4237000 71430 225 . 00 REPAIR PARTS 2201 4237000 71432 23 . 74 REPAIR PARTS MID-STATE TRUCK EQUIPMENT . Invoice 11020 Allisonville Road Invoice Number: Retail#: 001104675-001-0 71432 Fishers, IN 46038 Met!-state)Track€.gi�ipnICiu I Invoice Date: I:iropt;t??pCtl i.. Phone: 317.849.4903 >s ' www.mid-statetruck.com 3/7/2013 Fax : 317.849.6441 Bill To Ship To CITY OF CARMEL ONE CIVIC SQUARE CARMEL, IN 46032 Handlin_g charge added to Credit Customer P.O. No. Terms Card orders over$500.00: 2.5% on Visa, M/C, AMEX& Discover SHOP NET 25 Days r Sales Rep ID Shipping Method Ship Date Due Date _ _ CJs cust. pick-up 3/7/2013 4/1/2013 - - -.....--- _ _._.. -- ---....... _--- -- _ Qty Item Code Description Price Ea. Extension ....... ........ __ ...... _ PARTS 1 4 BOSS CONNECTOR FOR 3157 BULB 3.01 12.04 6'PARTS 1 3157 BULB 1.95 11.70 i i Serial # Serial# Subtotal $23.74 Sales Tax (7.0%) $0.00 06 Total Invoice Amount $23.74 Received by Payment Received $0.00 Check#/Authorization Code: ! Balance ®U@ $23'74 Thank,y®u for your business! MID-STATE TRUCK EQUIPMENT y� Invoice 11020 Allisonville Road r F Invoice Number: Retail#: 001104675-001-0 71430 Fishers, IN 46038 ..: Mfd-Sc:rccTrxeCk€gai�iattcfu Invoice Date: Phone: 317.849.4903 www.mid-statetruck.com 3/7/2013 Fax : 317.849.6441 Bill To Ship To CITY OF CARMEL 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, M/C, AMEX& Discover TRUCK 8 NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date --- --- CJS - cust. P ick-u P. 3/7/2013 4/1/2013 -. -- --- .. .... -- Qty Item Code Description Price Ea. Extension _ .... ..... ...... ......._ _ ..._....... ....... ........ ......... 1 HYD01563 MOTOR,BOSS 225.00 225.00 i Serial # Serial# Subtotal $225.00 Sales Tax (7.0%) $0.00 Received by � 6 Total Invoice Amount $225.00 OA I Payment Received $0.00 Check#/Authorization Code: Balance Due $225.00 Thank you for your business! 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 pef unit, etc. Payee 201250 MID STATE TRUCK EQUIP CORP Purchase Order No. 11020 ALLISONVILLE RD Terms FISHERS, IN 46038 Due Date 3/6/2013 invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/6/2013 71399 $48.95 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 201250 IN SUM OF $ MID STATE TRUCK EQUIP CORP 11020 AL-LISONVILLE RD FISHERS, IN 46038 i Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR I Board members PO# INV# ACCT# AMOUNT Audit Trail Code 71399 01-6500-04 $48.95 i Voucher Total $48.95 Cost distribution ledger classification if claim paid under vehicle highway fund MID-STATE TRUCK EQUIPMENT w Invoice � y 11020 Allisonville Road Invoice Number: E .„ a Retail#: 001104675-001-0 71399 Fishers, IN 46038 .�` Midi 4 �Truck F'q 6iPn1C"11C Invoice Date: Phone: 317.849.4903 . Fax : 317.849.6441 www.mid-statetruck.com 3/6/2013 Bill To Ship To CARMEL WATER DISTRIBUTION 3450 W. 131 st St. Westfield, IN 46074-8267 �.9 Handling charge added to Credit Customer P.O. No. _ Terms Card orders over$500.00: 2.5% on --- Visa, M/C, AMEX& Discover truck27 NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date _ ........ ....... _ ............ _.__ .. .. CJs cust pick-up 3/6/2013 3/31/2013 - ,Qty..1 Item Code Description I Price Ea. Extension a .. . ..... ._. ......... .................._ ......... ._..._...... .... ............. ., _.. ..............._. .................... 1 ;HYD01836 BOSS SNOWPLOW OIL GALLON 25.00 25.00 1 HYD07042 HOSE,3/8"x42",1/4"MPx3/8"MP 23.95 23.95 i i i i I Serial # Serial# Subtotal $48.95 Sales Tax (7.0%) $0.00 Total Invoice Amount $48.95 Received by Payment Received $0.00 Check#/Authorization Code: i c'$�613C@ Due $48.95 Thank you for-your businessl VOUCHER NO. WARRANT NO. Mid-State Truck Equipment ALLOWED 20 IN SUM OF $ 11020 Allisonville Road Fishers, IN 46038 $248.74 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO, ACCT#/TITLE AMOUNT Board Members 2201 71432 42-370.00 $23.74 1 hereby certify that the attached invoice(s), or 2201 71430 42-370.00 $225.00 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 M n ay, ,"ch 11, 2013 Street Commissi n r RtrPPt Commissinr Title Cost distribution ledger classification if claim paid motor vehicle highway fund 1 i 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)) 03/07/13 71432 $23.74 03/07/13 71430 $225.00 I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance Nith IC 5-11-10-1.6 20 Clerk-Treasurer