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Home My WebLink About227049 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1 of ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $1,665.00 CARMEL, INDIANA 46032 11020ALLISONVILLE RD FISHERS IN 46038 CHECK NUMBER: 227049 CHECK DATE: 12/1112013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4350000 74078 235 . 00 EQUIPMENT REPAIRS & M 651 5023990 74286 1, 430 . 00 OTHER EXPENSES MID-STATE TRUCK EQUIPMENT ; Invoice 11020 Allisonville Road Invoice Number: Retail#: 001104675-001-0 nil�l�' a Fishers, IN 46038 t F r 74078 @=ic[!•Scicc-.Te'tec9< Fq , pr4ni Invoice Date: 1 i� Otis Phone: 317.849.4903 '..°. Fax : 317.849.6441 www.mid-statetruck.com 11/18/2013 Bill To Ship To CARMEL CLAY PARKS & RECREATION 1411 E. 116TH STREET V 2 12013 I Carmel, IN 46032 - Handling charge added to Credit Customer P.O. No. Terms Card orders over$500.00: 2.5% on Visa, M/C, AMEX& Discover 36401 NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date CJs cust. pick-up 11/18/2013 12/13/2013 Qty Item Code Description Price Ea. Extension 1 MSC12246 BOSS UTV LIGHT HIT 225.00. 225.00 1 FREIGHT-01 FREIGHT/SHIPPING 10.00. 10.00 jag 3(o�EOI F 43670000 Serial # Serial# Subtotal $235.00 Sales Tax (7.0%) $0.00 Total Invoice Amount $235.00 Received by Payment Received $0.00 Check#/Authorization Code: Balance Due 5235.00 1 Thank you for your business! ACCOUNTS PAYABLE VOUCHER CITY OF CARM EL An invoice of 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. 201250 Mid-State Truck Equipment, Inc. Terms 11020 Allisonville Road Fishers, IN 46038 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 11/18/13 74078 Salt spreader light kit 36401 $ 235.00 Total $ 235.00 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. 201250 Mid-State Truck Equipment, Inc. Allowed 20 11020 Allisonville Road Fishers, IN 46038 In Sum of$ $ 235.00 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#or Board Members Dept# INVOICE NO. ACCT#lTITL AMOUNT 1093 74078 4350000 $ 235.00 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 5-Dec 2013 Signature $ 235.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund MID-STATE TRUCK EQUIPMENT N�Y Invoice 11020 Allisonville Road Invoice Number: 3 �4 = Retail#: 001104675-001-0 74286 Fishers, IN 46038. ' M it]-S( m tTeuck E caipilkxitna Invoice Date:. . Phone: 317.849.4903 . Fax : 317.849.6441 www.mid-statetruck.com 11/29/2013 Bill To Ship To CARMEL WASTEWATER UTILITIES JOE FAUCETT 760 THIRD AVENUE S.W. 317.571.2634 x.1636 SUITE 110 CARMEL, IN. 46032 Handling charge added to Credit Customer P.O. No. Terms Card orders over$500.00: 2.5% on Visa, M/C, AMEX& Discover S13802 NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date MRR cust. pick-up 11/29/2013 12/24/2013 Qty Item Code Description Price Ea. Extension c _. 2: 127-0-02 WEATHER GUARD ALUMINUM SADDLE BOX 715.00 1,430.00 Serial # Serial # Subtotal $1,430.00 Sales Tax (7.0%) $0.00 Total Invoice Amount $1,430.00 Received by Payment Received $0.00 Check#%Authorization Code: Balance Due $1,430.00 Thank y®u fog°your business! VOUCHER # 136977 WARRANT # ALLOWED 201250 IN SUM OF $ MID STATE TRUCK EQUIP CORP 11020 ALLISONVILLE RD FISHERS, IN 46038 j t Carmel Wastewater Utility c ON ACCOUNT OF APPROPRIATION FOR y a Board members PO# INV# ACCT# AMOUNT Audit Trail Code 74286 01-7500-02 $1,430.00 I i I j i Voucher Total $1,430.00 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 12/5/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/5/2013 74286 $1,430.00 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 have audited same in accordance with IC 5-11-10-1.6 Date Officer