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Home My WebLink About218554 03/25/2013 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: $599.35 ' ? FISHERS IN 46038 CHECK NUMBER: 218554 CHECK DATE: 3125/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 71387 473 . 85 OTHER EXPENSES 651 5023990 71391 5 . 35 OTHER EXPENSES 651 5023990 71481 59 . 65 OTHER EXPENSES 651 5023990 71497 60 . 50 OTHER EXPENSES MID-STATE TRUCK EQUIPMENT Invoice 11020 Allisonville Road Invoice Number. Retail#: 001104675-001-0 71387 Fishers, IN 46038 Mid-Scate,Trtj k 'quipment 4 Invoice Date. Phone: 317.849.4903 www.mid-statetruck.com 3/5/2013 Fax 317.849.6441 Bill To Ship To CARMEL WASTEWATER UTILITIES 760 THIRD AVENUE S.W. SUITE 110 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 JEFF NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date ......... ....................... ..........11................-..... ...... ......................- .......... cis cust. pick-up 3/5/2013 3/30/2013 Qty Item Code Description Price Ea. Extension .........__.......-.1.1.......... .................... ............ .. ......... CUTTINGEDGE,716"LGI/2"TK 3 STB03002 144.00 432.00 , CUTTINGEDGE1/2"BOLT SET 10 3 BAX00034 13.95 : 41.85 Serial# Serial# Subtotal $473.85 Sales Tax (7.0%) $0.00 Received Total Invoice Amount $473.85 Payment Received $0.00 Check#/Authorization Code: Balance Due $473.85 Thankyouforyour business! MID-STATE TRUCK EQUIPMENT Invoice 11020 Allisonville Road Invoice Number: Retail#: 001104675-001-0 g 71497 Fishers, IN 46038 Mid•ScscC:Twt�[ic q`atp+nenc Invoice Date. ISd6:6map'0114 Phone: 317.849.4903 Fax : 317.849.6441 www.mid-statetruck.com 3/13/2013 Bill To Ship To CARMEL WASTEWATER UTILITIES 760 THIRD AVENUE S.W. SUITE 110 CARMEL, IN. 46032 Handling charge added to Credit Customer P.O. No. Terms i Card orders over$500.00: 2.5%on - Visa, M/C,AMEX&Discover NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date CJs cust. pick-up 3/13/2013 4/7/2013 Qty Item Code Description Price Ea. Extension .......... ...................._-..............._.._..................._........_.._.._.._........_.._...................................- 1 PARTS :1315310 Western repair plug 60.50: 60.50 Serial# Serial# Subtotal $60.50 Sales Tax (7.0%) $0.00 Received 4V Total Invoice Amount $60.50 _ _ Payment Received $0.00 Check# /Authorization Code: balance Due $60.50 Thankyouforyour business! MID-STATE TRUCK EQUIPMENT Invoice 11020 Allisonville Road Invoice Number. Retail#: 001104675-001-0 fY 71481 Fishers, IN 46038 mld-sc%[ ' xlck qujpmenc Invoice Date: ftszfr napoll Phone: 317.849.4903 www.mid-statetruck.com 3/11/2013 Fax 317.849.6441 Bill To Ship To CARMEL WASTEWATER UTILITIES 760 THIRD AVENUE S.W. SUITE I 10 CARMEL,IN. 46032 Handling charge added to Er-edit Customer P.O. No. Terms Card orders over$500,00: 2.5%on Visa, MIC,AMEX&Discover JEFF NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date .......... ........... ............ cis cust. pick-up 3/11/2013 4/5/2013 --------------- ------------ - - ------- --------T-- ....... Price Ea. Extension Qty I Item Code Description ............... ......... .............................. ......... ............................... ........ NATSTERN l..'PARTS I REPAIR PLUG 1315315 59.65 : 59.65 Serial# Serial# Subtotal $59.65 Sales Tax (7.0%) $0.00 Received t' Total Invoice Amount $59.65 Payment Received $0.00 Check#/Authorization Code: Balance Due $59.65 Thank_1 ank you for your business! MID-STATE TRUCK EQUIPMENT Invoice 11020 Allisonville Road Invoice Number: Retail#: 001104675-001-0 71391 Fishers, IN 46038 Mid_$C%Ve Trutk gtnpmcnt Invoice Date: Phone: 317.849.4903 Fax - 317.849.6441 www.mid-statetruck.com 3/5/2013 Bill To Ship To CARMEL WASTEWATER UTILITIES 760 THIRD AVENUE S.W. SUITE 110 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 JEFF NET 25 Days w Sales Rep ID Shipping Method Ship Date Due Date ............ ... ............ ...................... cis cust. pick-up 3/5/2013 3/30/2013 ' Qty Item Code Description Price Ea. Extension .................. ............. ....................... ......... ..................... ....... ............ ............... ............. I HYDO 1620 FIT,90DEG SWVL,3/811M0Rx1/4"FPS 5.35 : 5.35 -------------- ......... ------ Serial# Subtotal $5.35 Serial# Sales Tax (7.0%) $0.00 Total Invoice Amount $5.35 b Receiv d) Payment Received $0.00 Chec" /Authorization Code: -Balance Due $5.35 .'hank nank youjor your business! VOUCHER # 135135 WARRANT # ALLOWED 201250 IN SUM OF $ MID STATE TRUCK EQUIP CORP 11020 ALLISONVILLE RD FISHERS, IN 46038 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 71387 01-7500-02 $473.85 .`lly�j'1 Ol-�soc -e;;� ,, foC� 5C3 11391 c --?Soo ca - �5. 35 S99o35 Voucher Total J 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 3/18/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/18/2013 71387 $473.85 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