316443 09/26/17 CITY OF CARMEL, INDIANA VENDOR: 201250
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: S'"""""""51.26"
s? ?� CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 316443
FISHERS IN 46038 CHECK DATE: 09/26/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 96112 51.26 OTHER EXPENSES
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MID-STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road Invoice Number:
Retail#: 001104675-001-0 ;w 7N Zft 96112
Fishers, IN 46038
Mid•Sc.tcc Truck Egwpmcnt Invoice Date:
Inde uupoh-
Phone: 317.849.4903
www.mid-statetruck.com 8/31/2017
Fax : 317.849.6441
Bill To Ship To
CARMEL UTILITIES
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 S17599 NET 25 Days
i
Sales Rep ID Shipping Method Ship Date Due Date
8/31/2017 9/25/2017
Qty Item Code Description Price Ea. Extension
1 PARTS 1 B-88 BELT 51.26 51.26
Serial #
Serial #
Subtotal $51.26
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [ ] Auth. # Total Invoice Amount $51.26
Payment Received $0.00
Received by Date
'Balance Due $51.26
Thank you for your business!