315682 8/31/2017 CITY OF CARMEL, INDIANA VENDOR: 201250 CHECK AMOUNT: $********45.46*
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 315682
FISHERS IN 46038 CHECK DATE: 08/31/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 96018 45.46 OTHER EXPENSES
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MID-STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road Invoice Number:
Retail#: 001104675-001-0 ;qM 96018
Fishers, IN 46038
MiA•St.uc Truck Equipmcnc Invoice Date:
Indo%wipods
Phone: 317.849.4903
www.mid-statetruck.com 8/23/2017
Fax : 317.849.6441
Bill To Ship To
CARMEL WATER DISTRIBUTION
3450 W. 131 st St.
Westfield, IN 46074-8267
Handling charge added to Credit Customer P.O. No. Terms
Card orders over$500.00: 2.5%on —
Visa, MIC,AMEX&Discover TRUCK 70 NET 25 Days !
Sales Rep ID Shipping Method Ship Date Due Date
AV 9/17/2017
Qty Item Code Description Price Ea. Extension
1 PARTS 1 AERO TARP ARM END 0311-864106 33.46 33.46
FREIGHT-01 FREIGHT/SHIPPING 12.00 12.00
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Serial #
DELIVERED AUG 2 8 20V
Serial #
Subtotal $45.46
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [ ] Auth. # Total Invoice Amount $45.46
Payment Received $0.00
Received by.1....r 3 Date
Balance Due $45.46
Thank you for your business!