HomeMy WebLinkAbout227786 1/8/2014 CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
*� ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $1,806.65
CARMEL, INDIANA 46032 11020ALLISONVILLE RD
FISHERS IN 46038 CHECK NUMBER: 227786
CHECK DATE: 1/8/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 74875 709 . 95 REPAIR PARTS
2201 4237000 74911 664 . 70 REPAIR PARTS
2201 4237000 75518 432 . 00 REPAIR PARTS
MID-STATE TRUCK EQUIPMENT ' Invoice
11020 Allisonville Road Invoice Number:
Retail#: 001104675-001-0 74911
Fishers, IN 46038
Mkd-sc.crsTrucInvoice Date:
Phone: 317.849.4903
www.mid-statetruck.com 12/13/2013
Fax : 317.849.6441
Bill To Ship To
CITY OF CARMEL
ONE CIVIC SQUARE
CARMEL, IN 46032
Handling charge added to Credit Customer P.O. No. Terms E
Card orders over$500.00: 2.5%on
Visa, MIC,AMEX&Discover 2340JB NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
..............._.._................ _..__..._._..;...... ...._....._........_.._.._....................................._._._................._...._....................._.........._...
CJS cust. pick-up 12/13/2013 1/7/2014
Qty Item Code Description Price Ea Extension
........................_._......................_.._..........._...._... .__._..............................._........................-_...-......................................... _... _... ........................_.__..._..............._.___............................................. ............. _. _._.......... ....._....
1 MSC09216 BOSS V-PLOW HD CASTER SET 189.95: 189.95
1 PARTS 1 MSC09215 BOSS STB CASTER KT 150.00 150.00
2 MSC09644 SIGHT SYSTEM KIT, RT3 19.00. 38.00
1 MSC01565 BOSS RUBBER SNOW DEFLECTOR 224.65 224.65
1 MSC05078 FILL CAP ELBOW KIT 2.20 2.20
2 MSC03423 DIELECTRIC GREASE,PERMATEX,3 OZ.TUBE 4.95 9.90
2 HYD01836 BOSS SNOWPLOW OIL GALLON 25.00 50.00
;
Serial#
Serial# Subtotal $664.70
Sales Tax (7.0%) $0.00
\40 w �fl� Total Invoice Amount $664.70
Received by ((JJ
Payment Received $0.00
Check#/Authorization Code: Balance Due $664.70
Thank y®u fog°y®ur business!
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid-State Truck Equipment
IN SUM OF $
11020 Allisonville Road
Fishers, IN 46038
$664.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT_ Board Members
2201 I 74911 I 42-370.001 $664.70 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
/17
1
Tu �a 1 , 2013
efree� ommissioner
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))
12/26/13 74911 $664.70
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 4 w � Invoice
11020 Allisonville Road - Invoice Number:
Retail##: 001104675-001-0
74875
Fishers, IN 46038 M6Q-Sac Truck Equip 2e I F
i+co,..,paaq Invoice Date:
Phone: 317.849.4903
Fax : 317.849.6441 www.mid-statetruck.com 12/11/2013
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. MAC AMEX& Discover TRUCK 136 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
TMB P 12/11/2013 1/5/2014
........... __. ___.___ _ ____ __.... .......
Qty Item Code Description Price Ea. Extension
........ ........._ ....... . ........... .... __..... ........ _ .. ...... .. ...... ...........
1 PARTS 1 WESTERN 67845 STAND ASSEMBLY 259.95 259.95
2 MSC01565 BOSS RUBBER SNOW DEFLECTOR 225.00 450.00
Serial#
Serial# Subtotal $709.95
Sales Tax (7.0%) $0.00
Total Invoice Amount $709.95
Received by
Payment Received $0.00
Check#/Authorization Code: j Balance Due $709.95
Thank y®u fog°your business
MID-STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road Invoice Number:
Retail#: 001104675-001-0 75518
Fishers, IN 46038
r� ` c�cTrcrckgaryre �ec Invoice Date:
a1, 1 m , 111
Phone: 317.849.4903
Fax .- 317.849.6441 www.mid-statetruck.com 1/2/2014
Bill To Ship To
CARMEL STREET DEPARTMENT
3400 West 131 Street
WESTFIELD, IN 46074
Handling charge added to Credit Customer P.O. No. Terms
Lard orders over$500.00: 2.5% on -- ---- - ----
sa, MIC, AMEX& Discover NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
TM13 P 1/2/2014 1/27/2014
.......... - ....... _ .. ...................... ............. ._ .......
Qtyl Item Code Description Price Ea. Extension
....... __ .......
3 STB03002 I CUTTINGEDGE,7'6"LG1/2"TK 144.00 432.00
Serial#
Serial# Subtotal $432.00
Sales Tax (7.0%) $0.00
Received by Total Invoice Amount $432.00
Payment Received $0.00
Check#/Authorization Code: Balance Due $432.00
Thank.y®u for y®ur business!
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid-State Truck Equipment
IN SUM OF $
11020 Allisonville Road
Fishers, IN 46038
$1,141.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
2201 74875 42-370.00 j $709.95 1 hereby certify that the attached invoice(s), or
2201 75518 42-370.00 $432.00 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
Sun�a , Ja 05, 2014
Street Commissi
Street 0q) losla ar
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))
12/11/13 74875 $709.95
01/02/14 75518 $432.00
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