HomeMy WebLinkAbout224038 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP
s 0 CHECK AMOUNT: $478.00
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD
'ti, off�o FISHERS IN 46038 CHECK NUMBER: 224038
CHECK DATE: 9/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 73092 478 . 00 REPAIR PARTS
MID-STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road
Invoice Number:
j"pie>' YJ.r a±,yu"ay
Retail#: 001104675-001-0 �� u 73092
Fishers, IN 46038
Mod.. :1.ejr1etk E' �Uipmtnl Invoice Date:
i»d&i n.apd In.
Phone: 317.849.4903 8/26/2013
www.mid-statetruck.com
Fax : 317.849.6441
Bill To Ship To
CARMEL STREET DEPARTMENT
3400 West 131 Street
WESTFIELD, IN 46074
Handling charge added to Credit Customer P.O. No. Terms
Card orders over$500.00: 2.5%on
Visa M/C. AMEX&Discover SHOP NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
.........,.v.: .
_ .._ ..............
TMB P 8/26/2013 9/20/2013
Qty Item Code Descri tion Price Ea. Extension
.... .................. ....... __._...........
.......
__ _ _._.._... ..........._......
2 PARTS 1 TRAIL FX STAINLESS STEEL NERF BARS 239.00 478.00
LIFETIME WARRANTY
Serial#
Subtotal $478.00
Serial#
Sales Tax (7.0%) $0.00
oTotal Invoice Amount $478.00
Received by Payment Received $0.00
Check#/Authorization Code:
Balance Due $478.00
Thank y®u 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))
08/26/13 73092 $478.00
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
$478.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 1 73092 1 42-370.001 $478.00 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
ursda , ept er 05, 2013
UVA e b i—I
Street Commissi r
Street oMpissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund