HomeMy WebLinkAbout226399 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP
CARMEL, INDIANA 46032 11020ALLISONVILLE RD CHECK AMOUNT: $67.50
FISHERS IN 46038 CHECK NUMBER: 226399
CHECK DATE: 11119/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 73936 67 . 50 REPAIR PARTS
MID-STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road Invoice Number.
Retail#: 001104675-001-0 73936
Fishers, IN 46038
Mid Stace frt+C uipmenc Invoice Date:
Phone: 317.849.4903 °
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, MIC,AMEX&Discover ffSNCOWPLOWS NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
....................................................................................... ............................... ..........
............................----................
cis cust. pick-up 11/12/2013 12/7/2013
.............
Qty : Item Code Description Price Ea. Extension
i _...........................I...................................... ...............t.........................................................
................ -._.__.._..._........_........-,-SPRING.
6 MSC03807 PIN KIT, KCKSTD RT3 11.25..;.....
1.25 67.50
............ ................ ------............................................
Serial#
Subtotal $67.50
Serial# Sales Tax (7.0%) $0.00
Received Total Invoice Amount $67.50
Payment Received $0.00
Check#/Authorization Code: Balance Due $67.5
Thank you 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))
11/12/13 73936 $67.50
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20 j
Mid-State Truck Equipment
IN SUM OF $ �
11020 Allisonville Road
i
Fishers, IN 46038
i
$67.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
I
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 73936 I 42-370.001 $67.50 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
% Thursday, Now ber 14, 2013
U"
Street Commis i er
es���s f:nmmicsinnAa'
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund