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306742 01/05/17
(9) CITY OF CARMEL, INDIANA VENDOR: 201250CHECKAMOUNT: S••"•'"«580.99" ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORPCARMEL, INDIANA 46032 11020 ALLISONVILLE RDCHECK NUMBER: 306742 FISHERS IN 46038 CHECK DATE: 01/05/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4350000 92904 580.99 EQUIPMENT REPAIRS & M $ 2 - / U o 2 % -S > / U0 q w i -LK 2 q \ c ƒk0 9L ri CD z oq & co m > K { { ^ § $ O 2 2 CD % E m > # § B \ c 0 § ■ _0 � 2f � g q co OD R a O o a / o / © CL 2 ( { w � \ 2 2\ OD 9 I � $ 2 ] L7 - D \ 0 K ƒ $ 2 =r ] CD E 0 E E a CD / 0) Q -h n 2 D R 49 0 O / $0 CD - \ CD k / / @ 2 % / ) \ / CD w 2 } o \ \ 0 CD // o CD »o ] o / / =rCD / | m � � \ 0 MID-STATE TRUCK EQUIPMENT N Oa�� Invoice 11020 Allisonville Road Invoice Number: Retail#: 001104675-001-0 92904 Fishers, IN 46038 Modt-scacc Truck Equipmcnc Invoice Date: Phone: 317.849.4903 www mid-statetruckcom 12/16/2016 Fax : 317.849.6441 Bill To Ship To CARMEL CLAY PARKS & RECREATION 1411 E. 116TH STREET Carmel, IN 46032 Handling charge added to Credit Customer P.O. No. Terms Card orders over$500.00: 2.5%on Visa. MIC.AMEX&Discover 401903 NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date AV 12/16/2016 1/10/2017 Item Code Description Price Ea. Extension Q I ty ; p 1 MSC09601 !CONTROL,HANDHELD, SMARTOUCH2,V 292.00 292.00 BLADE 11 STB09602 CONTROL,HANDHELD, SMARTOUCH2, STB 282.00' 282.00 BLADE 1 HYD01695 j HOSE,1/4"x15-1/2",1/4"MPxl/4MP 6.99 i 6.99 I RRI 7- r7 TD I DEC 19 20'0 BY: Serial # Serial # Subtotal $580.99 Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00 Credit Card [ ] Auth. # Total Invoice Amount $580.99 Payment Received $0.00 Received by Date Balance Due $580.99 Thank you for your business!