313839 07/18/17 os y�y*
�f. ., CITY OF CARMEL, INDIANA VENDOR: 201250
i � ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $
k####2,080.00#
?� CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 313839
�MiroN�. FISHERS IN 46038 CHECK DATE: 07/18/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 95335 2,080.00 OTHER EXPENSES
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MID-STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road Invoice Number:
Retail#: 001104675-001-0 95335
Fishers, IN 46038 Mod-State Truck Equipment
Invoice Date:
Phone: 317.849.4903 Inds III Ipohs
Fax : 317.849.6441 www.mid-statetruck.com 6/30/2017
Bill To Ship To
CARMEL UTILITIES
9609 HAZELDELL PKWY
INDPLS, IN 46280
Handlin_j 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
X cust. pick-up 5/24/2017 7/25/2017
Qty Item Code Description Price Ea. Extension
3 MM241818.S RC 24"x18"x18" Steel Underbox 235.00 705.00
3 MM361818.S RC 36"x18"x18" Steel Underbox 275.00 825.00
1 MM961818.S RC 96"x18"x18" Steel Underbox 550.00 550.00
Serial #
Serial #
Subtotal $2,080.00
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [ ] Auth. # Total Invoice Amount $2,080.00
Payment Received $0.00
Received by Date
Balance Due $2,080.00
Thank you for your business!