HomeMy WebLinkAbout219826 05/07/2013 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
0 `• ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $124.85
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD
'+,®? FISHERS IN 46038 CHECK NUMBER: 219826
CHECK DATE: 517/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 71967 124 . 85 OTHER EXPENSES
MID-STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road Invoice Number:
Retail#: 001104675-001-0 71967
Fishers, IN 46038
Invoice Date:
Phone: 317.849.4903
Fax : 317.849.6441 www.mid-statetruck com 4/25/2013
Bill To Ship To
CARMEL WASTEWATER UTILITIES
760 TBIRD AVENUE S.W.
SUITE 110
CARMEL, IN. 46032
-Y_..__..._.._.._._ - _
Handling charge added to Credit w _._ P.O. _.._...Y.V...__`_. - .._._ Terms
--
H � Customer P . No. ...... ...............r.. ..._._
Card orders over$500.00: 2.5%on _._--_.__..._._.__...._....._._.. _..
Visa.MIC.AMEX&Discover t, JEFF
- NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
CJs cust. pick-up 4/25/2013 5/20/2013
Qty Item Code Description Price Ea. Extension
2 PARTS 1 velvac 035038 7.95 15.90
1 PARTS 1 WESTERN 49340 108.95 108.95
Serial #
Serial# Subtotal $124.85
Sales Tax (7.0%) $0.00
Received by
Total Invoice Amount $124.85
Payment Received $0.00
Check#/Authorization e: Balance Due $124.85
Thank y®uf®r your business!
VOUCHER # 135438 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
I
71967 01-7500-02 $124.85
t
r
J
Voucher Total $124.85
1
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 5/2/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/2/2013 71967 $124.85
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