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HomeMy WebLinkAbout228630 1 /28/2014 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: $1,130.52 FISHERS IN 46038 CHECK NUMBER: 228630 CHECK DATE: 1128/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 75855 180 . 00 REPAIR PARTS 2201 4237000 76356 950 . 52 REPAIR PARTS MID-STATE TRUCK EQUIPMENT Invoice 11020 Allisonville Road �y' Invoice Number: Retail#: 001104675-001-0 75855 Fishers, IN 46038 : Mcf-Sc1Cc'T°tt& giiati�n€ Invoice Date: Phone: 317.849.4903 Fax -. 317.849.6441 www.mid-statetruck.com 1/9/2014 Bill To Ship To CARMEL STREET DEPARTMENT 3400 West 131 Street WESTFIELD, IN 46074 Handling charge added toCredit Customer P.O. NO. Terms Card orders over$500.00: 2.5% on — --- Visa, MIC, AMEX& Discover 1914 NET 25 Days j Sales Rep ID Shipping Method Ship Date Due Date _ ...... . ........ ....... ...... 2/3/2014 Qty Item Code Description Price Ea. Extension _ 10 PARTS I 2" SUCTION HOSE 18.00 180.00 Serial # Serial# Subtotal $180.00 Sales Tax (7.0%) $0.00 Received by Total Invoice Amount $180.00 Payment Received $0.00 Check#/Authorization Code: € Balance Dile $180.00 Thank yo for your business! VOUCHER NO. WARRANT NO. ALLOWED 20 Mid-State Truck Equipment IN SUM OF $ 11020 Allisonville Road Fishers, IN 46038 $180.00 ON ACCOUNT OF APPROPRIATION FOR i Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 I 75855 I 42-370.001 $180.00 I 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 Wed l �sda J nuaryz22 2014 L/ sof Stv 6i(r_b W9 Mier 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)) 01/09/14 75855 $180.00 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 MID-STATE TRUCK EQUIPMENT 'r.. Invoice 11020 Allisonville Road Invoice Number: Retail#: 001104675-001-0 a 76356 Fishers, IN 46038 mid-Stacei r" i�Eglotpmenc Invoice Date: I.nd?n�pOirs Phone: 317.849.4903 www.mid-statetruck.com 1/21/2014 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 SHOP NET 25 Days _ Sales Rep ID Shipping Method Ship Date Due Date _ . .. CJS cust. pick-up 1/21/2014 2/15/2014 .... ......_ ... ...... . _...... _. _._ _ ..... Qty . Item Code Description Price Ea Extension ....- ........ . ......_.. ...... 6 STB03002 CUTTINGEDGE,716"L,G1/2"TIS 144.00. 864.00 6 BAX00034 CUTTINGEDGE,1/2 'BOLT SET 10 14.42: 86.52 .........._ .....: Serial# Subtotal $950.52 Serial# Sales Tax (7.0%) $0.00 � Total Invoice Amount $950.52 Received y Payment Received $0.00 d Balance ®U� 5950.52 Check#/Authorization Code: _____J Thacnk 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 $950.52 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 I 76356 I 42-370.001 $950.52 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 f p` Fr 24, 2014 Streeter bW%frsioner 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)) 01/21/14 76356 $950.52 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