315352 8/29/2017 ��'''•� CITY OF CARMEL, INDIANA VENDOR: 201250
"; t, CHECK AMOUNT: $********44.00*
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP
f ,r4 CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 315352
FISHERS IN 46038 CHECK DATE: 08/29/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 95794 44.00 OTHER EXPENSES
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MID-STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road Invoice Number:
Retail#: 001104675-001-0
95794
Fishers, IN 46038
Mid•Sc.uc Truck Equipment Invoice Date:
Inde un.%polis
Phone: 317.849.4903 8/8/2017
Fax : 317.849.6441 www.mid-statetruck.com
Bill To Ship To
CARMEL UTILITIES Dwayne
9609 HAZELDELL PKWY
INDPLS, IN 46280
Handling charge added to Credit Customer P.O. No. ^- -� Terms
Card orders over$500.00: 2.5%on
Visa, MIC,AMEX&Discover ANTHONY HARVEY NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
X cust. pick-up 8/8/2017 9/2/2017
Qty Item Code Description Price Ea. Extension
2 RC001 R.C. UNDERBODY TOOLBOX MOUNT BRACKET 22.00 44.00
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Serial #
Serial #
Subtotal $44.00
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [ ] Auth. # Total Invoice Amount $44.00
Payment Received $0.00
Received by Date
Balance Due $44.00
Thank you for your business!