306494 12/21/16 Q
CITY OF CARMEL, INDIANA VENDOR: 201250
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: S 422.80CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 306494
FISHERS IN 46038 CHECK DATE: 12/21/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 92338 125.80 OTHER EXPENSES
2201 4237000 92536 297.00 REPAIR PARTS
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MID-STATE TRUCK EQUIPMENT Invoice k4 a
11020 Allisonville Road y.-` Invoice Number:
Retail#: 001104675-001-0 92338
Fishers, IN 46038 MFcf•Scace Truck Eqf n►
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p^• Invoice Date:
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Phone: 317.849.4903 �.:�sA,au
www.mid-statetruck.com 12/5/2016
Fax : 317.849.6441
Bill To Ship To
CARMEL UTILITIES
3450 W 131ST. ST
Westfield,IN 46074-8267
Handiing charge added to Credit Customer P.O. No. Terms
Card orders over$500.00: 2.5%on
Visa.MIC,AMEX&Discover S16725 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
AV 12/30/2016
Qty Item Code Description Price Ea. Extension
1 MSC04738 HEADLIGHT HOUSING(BOSS LIGHT)PS 62.90 62.90
1 MSC04737 HEADLIGHT HOUSING DR(BOSS) 62.90 62.90
Serial#
Serial #
Subtotal $125.80
Cash [ ] Check [ l # Sales Tax (7.0%) $0.00
Credit Card [] Auth. # Total Invoice Amount $125.80
// -- Payment Received $0.00
Received by� r �3�� Date ,s-�V
Balance Due $125.80
Thank you for your business!
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MID-STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road Invoice Number:
Retail#: 001104675-001-0 92536
Fishers, IN 46038
Mid-State Truck Equipment Invoice Date:
tn0.wsapoii.
Phone: 317.849.4903
Fax : 317.849.6441 www.mid-statetruck.com 12/9/2016
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 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
MRR cust. pick-up 12/9/2016 i 1/3/2017
Qty Item Code Description Price Ea. j Extension
- -- - --- - -- ---- - - -
10 MSC11106 'BULB HIR2 LOW BEAM HEADLIGHT 08+ 29.70 297.00
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Serial #
Serial #
Subtotal $297.00
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [ ] Auth. # Total Invoice Amount $297.00
Payment Received $0.00
Received by Date
Balance Due $297.00
Thank you for your business!