HomeMy WebLinkAbout224593 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $200.00
io CARMEL, INDIANA 46032 11020 ALLISONVILLE RD
FISHERS IN 46038 CHECK NUMBER: 224593
CHECK DATE: 9/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 73246 200 . 00 OTHER EXPENSES
MID-STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road #
Invoice Number:
Retail#: 001104675-001-0 x 73246
Fishers, IN 46038
MYt!-St YtC Tt'sYtk EyaF� mCnc Invoice Date:
Phone: 317.849.4903 '
Fax 317.849.6441
www.mid-statetruck.com 9/1.6/2013
:
Bill TO Ship To
CARMEL UTILITIES
3450 W 131 ST. ST
Westfield, IN 46074-8267
Handling charge added to Credit Customer P.O. No. �� Terms
Card orders over$500.00: 2.5% on
Visa, M/C. AMEX& Discover TRUCK 28 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
TMs P 9/16/2013 10/11/2013
............... ......_
Qty Item Code Description Price Ea Extension
1 1PARTSI BUYERS BP-760 PINTLE
200.00' 00
i
SEP
18 ?013
i
I. 7 5®
.............................
Serial#
Serial# Subtotal $200.00
Sales Tax (7,0%) $0,00
—Received by Total Invoice Amount $200.00
Payment Received $0.00
Check#/Authorization Code: E�alanee ®ue $200.00
Thank you for your business!
Li<< .�M1. 'Y 0 VvA/`Ri'i.�4 :Y Ayl 0%IVL_D
201250 IN SUM OF S
MID STATE TRUCK EQUIP CORP
11020 ALLISONVILLE RD
FISHERS, IN 46038
4 armel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
73246 01-7500-02 $200.00
I
Voucher Total $200.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
StFi'e Floi.rd of Accounts "'rty Form No, 201 'PPv I
-%�(.,,31LE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dlfes ol'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 9/19/2013
Invoice Invoice Description .
Date Number (or note attached invoice(s) or bill(s)) Amount
9/19/2013 73246 $200.00
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
Date Officer