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311807 5/30/2017
VENDOR: 201250 CHECK AMOUNT: $*****4,950.00` CITY OF CARMEL, INDIANA MID STATE TRUCK EQUIP CORP CHECK NUMBER: 311807 ONE CIVIC SQUARE 11020 ALLISONVILLE RD 1 CARMEL, INDIANA 46032 FISHERS IN 46038 CHECK DATE: 05/30/17 DESCRIPTION DEPARTMENT DEPARTMENT ACCOUNT PO NUMBER INVCE NUMBER AMOUNT 00 REPAIR PARTS 2201 4237000 n _ R f < \ § / § k m % / 0 E n \ ^ / / ® m [ 02 2 m \ O 0 a E ± / � k k f f % / j m CD OOD # £ -nt m O D / @ � G o 0 % \ \ j 3 -0 q \ \ #CL m $ o C � 2 z 2 E f > O 0 / § E X | CD 8 to 3 - 2 > / \ § - � § \ ( i n ƒ 7 e m w , / ; n § = Ag 3 R e ƒ / \ y / w « a 2 / ( ) CL s = CD 3 % { 0 \ { c 0 E CD / 2 2 ®E i a . n - / « ± E / w cl t ®\ 2. E k { m = § § % & \ [ / Cn a N) Cn q o ,CD 0cn # ( kD ; \ m i; J CDCL CD 6 > \ P \ # § [ _ c < � # o ( § 7 & z 9 ® [ § 2 2 \ J \ = C: o G / ^ $ �_ Z 0> / k \ \ \ 0< Cil 0. �u) � D \) \ o aE CD CL2 / \ � 0 / PD / z 7 \ = O E 2 ] = cr C ` % / ƒ %$ / / g / CDCL -C3- _� \\ ] § 4t $ © k \ CL # 2CD C \ CCDTI o = E 2 § \ MID-STATE TRUCK EQUIPMENT Invoice 11020 Allisonville Road Invoice Number: Retail#: 001104675-001-0 94670 Fishers, IN 46038 Mod•Stace Truck Equipment Invoice Date: Phone: 317.849.4903 Indy in.poht Fax : 317.849.6441 www.mid-statetruck.com 5/9/2017 Bill To Ship To CARMEL STREET DEPARTMENT james Bentley 3400 West 131 Street WESTFIELD, IN 46074 Handling chame 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 X 2/27/2017 6/3/2017 Qty Item Code Description Price Ea. Extension 1 EQUIP. 97" Rugby Eliminator dump body 4,950.00 4,950.00 --12.5" fold down sides --Crossmemberless understructure --1/4 cab shield --LED body lighting --body comes in primer only --Does not include hoist --FOB Fishers,IN --6 weeks lead time BODY S/N 383565 Serial # TQ vc% S 9 Serial # Subtotal $4,950.00 Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00 Credit Card [ ] Auth. # Total Invoice Amount $4,950.00 Payment Received $0.00 Received by Date Balance Due $4,950.00 Thank you for your business!