HomeMy WebLinkAbout221618 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP
QQ JAS CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK AMOUNT: $49.00
FISHERS IN 46038 CHECK NUMBER: 221618
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CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 72516 49 . 00 OTHER EXPENSES
MID-STATE TRUCK EQUIPMENT Invoice
11020 Ailisonville Road Invoice Number:
Retail#: 001104675-001-0 k ' a
"°'°� 72516
e
Fishers, IN 46038
Mid-Scm v reek Zgmpmenc Invoice Date:
i rrod��n x�bD�s
Phone: 317.849.4903
www.mid-statetruck.com 6/13/2013
Fax : 317.849.6441
Bill To Ship To
CITY OF CARMEL
ONE CIVIC SQUARE
CARMEL,IN 46032
Handling charge added to Credit Customer P.O. No. Terms
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 6/13/2013 7/8/2013
..........._....---.._._ — -
Qty Item Code Description Price Ea. Extension
--...........................................:.._._._.................................................................................................... ............. . _. .. - ..
DIXIE CHOPPER SEAT BELT 900220 49.00
1 PARTS 1 49.00
Serial#
Subtotal $49.00
Serial#_
Sales Tax (7.0%) $0.00
Total Invoice Amount $49.00 �
Received by , fildl M Payment Received $0.00
Check#I Authorization Code: Balance Due $49.00
'hank you for y®ur 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 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 6/26/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/26/2013 72516 $49.00
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 Yff ice r
VOUCHER # 135810 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
72516 01-7502-06 $49.00
Voucher Total $49.00
Cost distribution ledger classification if
claim paid under vehicle highway fund