HomeMy WebLinkAbout221149 06/18/2013 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: $96.75
FISHERS IN 46038
CHECK NUMBER: 221149
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 72406 21 . 75 REPAIR PARTS
1203 4359003 72424 75 . 00 FESTIVAL/COMMUNITY EV
MID-STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road Invoice Number:
Retail#: 001104675-001-0
72406
Fishers, IN 46038
Invoice Date:
Phone: 317.849.4903
Fax : 317.849.6441 www.mid-statetruck com 6/4/2013
Bill To Ship To
CARMEL STREET DEPARTMENT
3400 West 131 Street
WESTFIELD, IN 46074
,-',Handfinc i Customer P.O. No. Terms
charge added to Credit
Card orders over$500.00: 2.5% on
Visa.I . M IC AMEX&Discover JEFF NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
TMB P 6/4/2013 6/29/2013
Qty Item Code Description Price Ea. Extension
1 STB09617 STRAIGHT BLADE TOUCH PAD 21.75 21.75
Serial#
Serial # Subtotal $21.75
Sales Tax (7.0%) $0.00
Received b Total Invoice Amount $21.75
Payment Received $0.00
...........
Check#/Authorization Code: Balance Due $21.75
Thank you, or your business!
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))
06/04/13 72406 $21.75
1 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid-State Truck Equipment
IN SUM OF $
11020 Allisonville Road
Fishers, IN 46038
$21.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 72406 I 42-370.001 $21.75 1 hereby certify that the attached invoice(s), or
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
rid ne 14, 2013
„Street�ommiss o er
ree ommiss�nnPr
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
MID-STATE TRUCK EQUIPMENT ... � , Invoice
IN 020 Allisonville Road ' Invoice Number:
Retail#: 001104675-001-0 ; 72424
Fishers, IN 46038
Mia•Stat c)Trutk Equipment Invoice Date:
hsdanapo�s
Phone: 317.849.4903 Gam'
Fax : 317.849.6441 www.mid-statetruck.com 6/6/2013
Bill To Ship To
CITY OF CARMEI
COMMUNITY RELATIONS DEPT.
ONE CIVIC SQUARE
CARMEL, IN 46032
Handlinq charge added to Credit Customer P.O. No. Terms
Card orders over$500.00: 2.5% on
Visa, M/C,AMEX&Discover 26826 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
MRR cult. pick-up 6/6/2013 7/1/2013
Qty Item Code Description Price Ea. Extension
1 labor hourly labor/installation fee 75.00 75.00
--SERVICE CHECK ON STAGE TRAILER
i �c Q� 2(0ffZ6
t)
Serial#
Serial# Subtotal $75.00
Sales Tax (7.0%) $0.00
Received by Total Invoice Amount $75.00
Payment Received $0.00
Check#/Authorization Code: Balance Due $75.00
Thank you for your business!
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))
06/06/13 72424 $75.00
1 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid-State Truck Equipment
IN SUM OF $
11020 Allisonville Road
Fishers, IN 46038
$75.00
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
26826 72424 I 43-590.03 $75.00
I hereby certify that the attached invoice(s), or
I
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
nday, June 17, 2013
Direct r, Community Relations/donomic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund