HomeMy WebLinkAbout224997 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK AMOUNT: $40.32
'? FISHERS IN 46038
„o CHECK NUMBER: 224997
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 73261 12 . 40 REPAIR PARTS
651 5023990 73357 27 . 92 OTHER EXPENSES
MID-STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road ` Invoice Number:
Retail#: 001104675-001-0
73261
Fishers, IN 46038 - .,
mitts-Star sTrutk �" "'�"` Invoice Date:
1ndrl�s.�6F�t
Phone: 317.849.4903
Fax : 317.849.6441 www.mid-statetruck.com 9/18/2013
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 MOWERS NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
TMB P 9/18/2013 10/13/2013
_......_.........................._..........._...................._.............._....................................._............_...... ..................._............ ._ __ __...... ._._ .... __.__.
.............._......................._..._........
.... ....................
Qty Item Code Description Price Ea. Extension
--- ----- -- ------ .._..__._ ----- _ _ _.---- --_ .......
4 B-226 Bolt- 1/2-20X2 Wheel Stud FT Gr.5 Zinc 3.10 12.40
i
Serial#
Serial# Subtotal $12.40
Sales Tax (7.0%) $0.00
Received b o Total Invoice Amount $12.40
Payment Received $0.00
Check#/Authorization Code: Balance Due $12.40
'hank y®u for your business!
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid-State Truck Equipment
IN SUM OF $
11020 Allisonville Road
Fishers, IN 46038
$12.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 ( 73261 I 42-370.001 $12.40 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
T sda , 2013
v
Sttrrrrir ��ier
Title
Cost distribution ledger classification if
claim paid motor 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 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))
09/18/13 73261 $12.40
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
MID-STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road Invoice Number:
Retail#: 001104675-001-0 i 73357
Fishers, IN 46038 �
�stia-ti(A«'T'fl#rk fg0ip111011S Invoice Date:
izdrsiga
Phone: 317.849.4903
Fax : 317.849.6441 www.mid-statetriick.com 10/2/2013
Bill To Ship To J�
CARMEL WASTEWATER UTILITIES ' I [5
760 THIRD AVENUE S.W. OCT 0 3 2013
SUITE 110
CARREL, IN. 46032 g
oft
10 7
Handling charge added to Credit Customer P.O. No. Terms
Card orders over$500.00: 2.5% on --
Visa, M/C, AMEX& Discover GARY I NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
CJs cust. hick-up 10/2/2013 10/27/2013
_........ _.._. ......... _ . .._.... _.._....
Qty Item Code Description Price Ea Extension
2:30240-0 Roller 7.50"'u Nylon Deck 13.96 27 92
._.. ................... _.. .....
_
Serial #
Serial# Subtotal $27.92
Sales Tax (7.0%) $0.00
Total Invoice Amount $27.92
Received
_by Payment Received __$0.00
Check#/Authorization Code: — Balance Due $27.92
T ank,y®u for y ur business!
VOUCHER # 136518 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
73357 01-7500-02 $27.92
Voucher Total $27.92
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 10/3/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/3/2013 73357 $27.92
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