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Home My WebLink About219107 04/10/2013 "�. 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: $1,034.92 , y °c FISHERS IN 46038 CHECK NUMBER: 219107 CHECK DATE: 4/10/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 71595 20 . 95 OTHER EXPENSES 2201 4237000 71676 485 . 22 REPAIR PARTS 2201 4237000 71738 528 . 75 REPAIR PARTS MID-STATE TRUCK EQUIPMENT Invoice 11020 Allisonville Road Invoice Number. Retail#: 001104675-001-0 71738 Fishers, IN 46038 i�rutl� q'i Invoice Date-. Irsd Wes Phone: 317.849.4903 Fax : 317.849.6441 www.mid-statetruck.com 4/1/2013 Bill To Ship To CARMEL STREET DEPARTMENT 3400 West 131 Street WESTFIELD, IN 46074 Wa�ndiinq charge added to Credit Customer P.O. N Terms Card orders over$500.00:E2.%%on Visa, MIC,AMEX&Discover JEFF NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date ........................ .... TMB P 4/1/2013 4/26/2013 .................. Qty Item Code Description Price Ea. Extension . ......... .......... .......... ....... ........ ............ .......... ........... 1 ,PARTS I WESTERN STB CONTROL 329,00; 329.00 5 STB09617 STRAIGHT BLADE TOUCH PAD 21.95 109.75 8' SPRING PIN KIT,KCKSTD RT3 11.25 90.00 .......... .......... Serial# Serial# Subtotal $528.75 Sales Tax (7.0%) $0.00 Total Invoice Amount $528.75 Received b Payment Received $0.00 Check#/Authorization Code: Balance Due $528.75 Thank ankyouforyour business! MID-STATE TRUCK EQUIPMENTS ,. Invoice 11020 Allisonville Road Invoice Number: Retail#: 001104675-001-0 w. 71738 Fishers, IN 46038 Msd-s(.Itc Truck F�gmpmollS Invoice Date: ta[A tn.eps# . Phone: 317.849.4903 Fax www.mid-statetrucA,.com 4/1/2013 -. 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, M/C, AMEX& Discover JEFF NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date TMB P 4/1/2013 4/26/2013 ._...... - Qty Item Code Description Price Ea. Extension ........... . ............ . . ... l PARTS I WESTERN STB CONTROL 329.00 329.00 5 STB09617 STRAIGHT BLADE TOUCH PAD 21.95 109.75 8 MSC03807 SPRING PIN KIT, KCKSTD RT3 11.25 90.00 Serial# Serial# Subtotal $528.75 Sales Tax (7.0%) $0.00 Received by Total Invoice Amount $528.75 Payment Received $0.00 Check#/Authorization Code: Balance Due $528.75 Thank y®u for y®ur business! MID-STATE TRUCK EQUIPMENT Invoice 11020 Allisonville Road Invoice Number. Retail#: 001104675-001-0 71676 Fishers, IN 46038 kt .Sta( �TrUC'k'., utPMCn( Invoice Date: I Mdalwn,^% 041% Phone: 317.849.4903 www.mid-statetruck.com 3/26/2013 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 ... ........ ........ TMB P 3/26/2013 4/20/2013 ....................... ............ . .......... Qty Item Code I Description Price Ea. Extension -----------------............ ................. ........ ..... ............ ............. ...................... .............. . ......------.................... ......................... ........................ 1 STB09617 STRAIGHT BLADE TOUCH PAD 21.75 : 21.75 2:HYD01637 VALVE, CARTRIDGE LIFT & ANGLE 64.95 : 129.90 1 :HYD07047 VALVE CARTRIDGE, SMRT HTCH 58.29 58.29 1 MSC09916 CONTROLLER ON OFF SWITCH 11.28 11.28 6 1 MSC04754 CONNECTOR PIG TAIL, 13 PIN, PLOW SIDE 44.00 264.00 .......... ........ .... ....... ............... Serial# Serial# Subtotal $485.22 Sales Tax (7.0%) $0.00 Received by Total Invoice Amount $485.22 Payment Received $0.00 Chec"/Authorization Code: [ Balance Due $485.22 Thank you for your business! VOUCHER NO. WARRANT NO. ALLOWED 20 Mid-State Truck Equipment IN SUM OF $ 11020 Allisonville Road Fishers, IN 46038 $1,013.97 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 71676 42-370.00 $485.22 1 hereby certify that the attached invoice(s), or 2201 71738 42-370.00 $528.75 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 Thu day ril 04, 2013 V, . ILA 9 4 p eet Com issi Street C&Pftissioner 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)) 03/26/13 71676 $485.22 04/01/13 71738 $528.75 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 MID-STATE TRUCK EQUIPMENT Invoice 11020 Allisonville Road Invoice Number. Retail#: 001104675-001-0 71595 Fishers, IN 46038 Invoice Date. Phone: 317.849.4903 3/21/2013 www.mid-statetruck.com Fax 317.849.6441 Bill To Ship To CARMEL WASTEWATER UTILITIES 760 THIRD AVENUE S.W. SUITE 110 CARMEL, IN. 46032 Handlin-g-charge-added to Credit Customer P.O. No. Terms Card orders over$500.00: 2.5% on ] Visa, MIC,AMEX&Discover COD Sales Rep ID Shipping Method Ship Date Due Date ........... ..... ............................................ ...... cis cust. pick-up 3/21/2013 3/21/2013 ........... Description Price Ea. Extension Qty Item Code ..................... ............. .............- ............... ................... ............................................... ........ .......... ....... ...... : I MSC01 509 SPRING,TRIP/RETURN 20.95 20.95 .............. Serial# Serial# Subtotal $20.95 Sales Tax (7.0%) $0.00 Total Invoice Amount $20.95 Received by Payment Received $0.00 Check.#I Authorization Code- Balance Due $20.957 rs"I's i nankyoujor your business! VOUCHER # 135218 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 i r Board members i PO# INV# ACCT# AMOUNT Audit Trail Code 71595 01-7500-02 $20.95 i Voucher Total $20.95 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 4/1/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/1/2013 71595 $20.95 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