HomeMy WebLinkAbout222090 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
4J� ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $304.47
CARMEL, INDIANA 46032 11020ALLISONVILLE RD
FISHERS IN 46038 CHECK NUMBER: 222090
CHECK DATE: 7/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 72681 239 . 00 REPAIR PARTS
2201 4237000 72685 65 . 47 REPAIR PARTS
MID-STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road
Invoice Number:
Retail#: 001104675-001-0
72681
Fishers, IN 46038
Mid-Sale: quipmenc
'rrdr Invoice Date-
Phone: 317.849.4903
Fax : 317.849.6441 www.mid-statetruck.com 7/1/2013
Bill To Ship To
CARMEL STREET DEPARTMENT
3400 West 131 Street
WESTFIELD, IN 46074
H andlin 4 :harmeWdded
to Credit Customer P.O. No. Terms
Card orders over$500.00: 2.5% on
Visa, MIC, AMEX&Discover NET 25 Days
Sales Rep ID
Shipping Method Ship Date Due Date
.................... ...............................-------------------
...................................... ......... ......................... .............................
TMB P 7/1/2013 7/26/2013
... ............------
i Qty Item Code Description
i Price Ea. Extension
......................... ............ ............ ............................ ........................
.
TRAIL FX NERF BARS STAINLESS STEEL FORD 23900.
1 !PARTS 1 239.00
F350 REG CAB
................ ......
Serial#
Serial# Subtotal $239.00
Sales Tax (7.0%) $0.00
Received by
Total Invoice Amount $239.00
Payment Received $0.00
Check#/Aut Orization Code: Balance Due $239.00
r1rnil
I ank you for your business!
MID-STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road
Invoice Number:
Retail#: 001104675-001-0
72685
Fishers, IN 46038
41d' -ScalloTruck Eqijipmenc
LiadcznlpGin
Invoice Date:
Phone: 317.849.4903
Fax : 317.849.6441 www.mid-statetruck.com 7/2/2013
Bill To Ship To
CITY OF CARMEL
ONE CIVIC SQUARE
CARMEL, IN 46032
Handling�charge added to C Customer P.O. No. Terms
Card orders over$500.00: 2.5%on
Visa, MIC,.AMEX& Discover DIXIE CHOPPER NET 25 Days
Sales Rep ID
Shipping Method Ship Date Due Date
........... ..................... .'..._.......... -.....................
................. .......... .......
cis cust. pick-up 7/2/2013 7/27/2013
................
I Qty i Item Code I Description
Price Ea. Extension
......................... ...... ............
........... ............... ......... ........... ..............
2168140 Filter- Hyro Zinga 40 Micron
17.45 34.90
I l2010B88W Belt- B88 Wrapped B88
30.57:
30.57
Serial#
Serial# Subtotal $65.47
Sales Tax (7.0%) $0.00
Total Invoice Amount $65.47
Receivej�. Payment Received $0.00
Check#/Authorization Code: L Balance Due $65.477
r1rnif
i ank you for your business!
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
j 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
i
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/01/13 72681 $239.00
07/02/13 72685 $65.47
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
VOUCHER NO. WARRANT NO.
Mid-State Truck Equipment ALLOWED 20
IN SUM OF $
11020 Allisonville Road
Fishers, IN 46038
$304.47
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 72681 42-370.00 $239.00 1 hereby certify that the attached invoice(s), or
2201 72685 42-370.00 $65.47 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
Wed sda y 10 13
Ssfr&F@gfWB1Pkr
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund