HomeMy WebLinkAbout222496 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
`4 ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $44.85
1, CARMEL, INDIANA 46032 11020 ALLISONVILLE RD
tiro `o.
FISHERS IN 46038 CHECK NUMBER: 222496
CHECK DATE: 7/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 72734 44 . 85 OTHER EXPENSES
MID-STATE TRUCK EQUIPMENTS Invoice
d
11020 Allisonville Roadk
` Invoice Number:
Retail#: 001104675-001-0
72734
Fishers, IN 46038 `R k
't'ic riot, Ztn oice Date:
Phone: 317.849.4903
Fax : 317.849.6441 www.mid-statetruck.com 1 7/10/2013
Bill To Ship To
CARMEL WASTEWATER UTILITIES
760 THIRD AVENUE S.W.
SUITE 110
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 GARY NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
- z_ ._:::::::........._......... :.:._.__............._...._..............................-----------
CJs cust. pick-up 7/10/2013 8/4/2013
Qty 1
.-Item Code --------. _ ._____ .. ....................... ......__.._..._
_........... ..,..._...... ._.__.__._......-__......_..___......_.- _.__
j 3 i 30227-60N Blade - 60 Heavy Wide 20-1 14.95 44.85
i
c-k
I
i
Serial#
Serial# Subtotal $44.85
Sales Tax (7.0%) $0.00
Received by _
Total Invoice Amount $44.85
Payment Received $0.00
Check#/Authorization Code:
balance Due $44.85
Thankeyou�for your business!
VOUCHER # 136017 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
7�R85 01Zj5O2�06��$65
'?a73q
11®a �a
Voucher Total
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 7/23/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/23/2013 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
7/z t'//-3
Date Officer