HomeMy WebLinkAboutMID-STATE TRUCK EQUIPMENT- 003311- 11/16/2012 CARMEL,REDEVELOPMENT COMMISSION 0 0 3 3 11
V
`i-
Mid-State Truck Equipment Check: 3311
11020 Allisonville Road Date: 11/16/2012
Fishers, In 46038 Vendor: MID-STAT
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
68981 823.28 823.28 0.00 0.00 823.28
repairs to trailer
823.28 823.28 0.00 0.00 823.28
TWE,KEY TO DOGUMEWT SE UR; FIEAT ACTIVATED THUM-eda-o-ADDITIONNA'Lx,SEC iyay FEATURES7NC itit •SEE_SACK F iii', ET;
l+ pq5&DES, Carmel Redevelopment Commission
' 30 West Main Street REGIONS
00331
k a
20-1421/740
• m Suite 220
K,„___CARMEL Carmel, IN 46032
ism- 3311
DATE AMOUNT
11/16/2012 **********823.28
PAY THE SUM OF EIGHT HUNDRED TWENTY THREE DOLLARS AND 28 CENTS ****************************
TO THE
ORDER
OF Mid-State Truck Equipment
11020 Allisonville Road
Fishers, In 46038 r,P SENg,I
Isr■
9a mss,
11'00331 Le 1:0 740 14 2 1 31: 008 7 504 1 1 1PP®
CARMEL REDEVELOPMENT COMMISSION 003311
Mid-State Truck Equipment Check: 3311
11020 Allisonville Road Date: 11/16/2012
Fishers, In 46038 Vendor: MID-STAT
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
68981 823.28 823.28 0.00 0.00 823.28
repairs to trailer
823.28 823.28 0.00 0.00 823.28
(-11-52 COMPUTEREASE FORMS DIVISION(877)577-5791 T-71771 /(
•
MtD-STATE TRUCK EQUIPMENT Invoice
` , #
T'
11020 Allisonville Road -
: .,,.� r.. �1- :` Invoice Number:
Retail#: 001104675-001-0 i
' 68981
�•
Fishers, IN 46038
t : ,- a eeartieC3< Egc,tpofl i( Invoice Date:
.1 i�t,il r5,,f FiS
Phone: 317.849.4903
Fax : 317.849.6441 www.inid-statetrirck.com 10/10/2012
Bill To Ship To
CARMEL REDEVELOPMENT COMMISSION "ARTS AND DESIGN DISTRICT OFFICE"
30 WEST MAIN STREET
SUITE 220
CARMEL, IN 46032
Handling charge added to Credit i Customer P.O. No. Terms
Card orders-over$500.00: 2.-5% on _.____.... ._-.-.-----.. _._------------------..___.______._._..—,
Visa, M/C, AMEX& Discover 1 NET 25 Days
L2
Sales Rep ID Shipping Method Ship Date Due Date
KE 10/22/2012 11/4/2012
Qty Item Code Description Price Ea. Extension
1 PARTS 1 SEAL KIT 10.28 10.28
6 PARTS 1 QUARTS LOW TEMP OIL 8.00; 48.00
10 labor REPAIR LEAKING CYLINDER ON STAGE ROOF 75.00 750.00
SYSTEM
1 shop-001 miscellaneous shop supplies 15.00 15.00
WORK ORDER# 62924
CENTURY 1990 VIN:1XCS40387L3000837
Ivt
Serial#
Serial# Subtotal $823.28
Sales Tax (7.0%) $0.00
Received by Total Invoice Amount $823.28
Payment Received $0.00
Check#/Authorization Code: Balance Due $823.28
Thank you for your business!
Prescribed-v 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
8/.°/54.6 Purchase Order No.
/7220 /7/,ts v,7/0 #,Q ea-ci Terms
/ sl Gr 5, /'Z-" `7/6 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
/0/4/2 6 g s 61 [q,/p,_ / P/9/v5 ez 3,z
Total 6'2 3.2c�
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
l—l`f , 201ZZ
- reasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
/p- J 4/C' 74-
//-/ O v /'///s 0.w/;74, �U ter/
IN SUM OF $
//
fir56�r,%5� m.-2 76 3 '
$ X23 ,2B
ON ACCOUNT OF APPROPRIATION FOR
9.72
Board Members
D PT.#i INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s),
go2 6 ( s 9a23 ?23 2g 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
/ Z 2 20/-
Signature
Executive Director
Title
Cost distribution ledger classification if Carmel Redevelopment Commission
claim paid motor vehicle highway fund