HomeMy WebLinkAbout225902 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $207.00
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD
FISHERS IN 46038 CHECK NUMBER: 225902
CHECK DATE: 1115/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 73525 207 . 00 REPAIR PARTS
MID-STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road Invoice Number:
.-.. .- °
Retail#: 001104675-001-0
{
73525
Fishers, IN 46038 Mid$t't r ; qiopmenc
Indkan}'41% Invoice Date:
Phone: 317.849.4903 ..
Fax : 317.849.6441 www.mid-statetruck.com 10/17/2013
Bill To Ship To
CARMEL STREET DEPARTMENT
3400 West 131 Street
WESTFIELD,IN 46074
Handlinq 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
TMB P 10/17/2013 11/11/2013
........____._---.. ...._... ...... __._. __.._._ _ _. _____.. _.._ ._.... .__ ._ .. .._
Qty Item Code Description Price Ea. Extension
_._....__._.._. .-- _.................__....---...._..........._._.._.._._.........._..............._........._... --._....._................................_.._........................ .__......................................._........._......._............_.._.__.............
3 STB03220 KICKSTAND,LEG,STR BLD RT3 25.00 75.00
3 MSC04754 CONNECTOR PIG TAIL, 13 PIN, PLOW SIDE 44.00; 132.00
aay
Serial#
Serial# Subtotal $207.00
Sales Tax (7.0%) $0.00
Total Invoice Amount $207.00
Received by Payment Received $0.00
Check#/Authorization Code: Balance Due $207.00 i
Thank,you for your business!
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid-State Truck Equipment
IN SUM OF $
11020 Allisonville Road
Fishers, IN 46038
$207.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT— Board Members
2201 I 73525 I 42-370.001 $207.00 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
T h u r d y, &e&3 2 13
TY
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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))
10/17/13 73525 $207.00
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