317645 10/19/2017 (9 )
CITY OF CARMEL, INDIANA VENDOR: 201250CHECK AMOUNT: S'"'"2,472.00'
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORPCARMEL, INDIANA 46032 11020 ALLISONVILLE RDCHECK NUMBER: 317645
FISHERS IN 46038 CHECK DATE: 10/19/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 96442 2,472.00 REPAIR PARTS
0
Q 2 J \ «
\ § § §m / /
- U) / > �
\ 0 z � /
& 0 2
/ m 0 Cl) / k / % O
t e =
/ i Q
~ -nt m m
O
§ CD / \
S o
§ 4 / j / k
3 \ - 3
CL ° z
E >
zz
m / § 0 .
m \ k |
7 o H
// e L7\ { k Cl) \(D \
% \$im0
n
CD n _
E 2] - \ \_
= n m
> \ f E § f
\ E f a) i
_ _ $ - E 7
> ® 0 ® m 8 E
§> E m J ,
U). ] 7 { \ m
\ ( & }
\ i f \ < w
= =
\ k
w & 7 ƒ f ƒ §
3
\ [
k/ G qe = CA
«i § \ CY
-
CL 7 ' w m _ -
CD CD
° D \
\/ /
n } (Dc < j / 0 (
8 » « z 2 k
(\ - k 2 m 2 - °
# # \ C) Z g
C) 3 \ \
_ CDa) /
e0 ® Q D
Cl D
Cl ) o > Co
° § /
\ x 0 \
0 ( 0 E CD c \ CD
\ O
I 7 d \ C
\ # 0 / § D
¥ E m m / } p
CL = o § CD§ /
§ 8 \ - ]
CD
§ k
}_ 7 2 D } \
t 0
C:)
--i \
MID-STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road Invoice Number:
Retail#: 001104675-001-0 96442
Fishers, IN 46038
Mid-Stme,Truck Equipment Invoice Date:
tidR. i*ipois
Phone: 317.849.4903
Fax : 317.849.6441 www.mid-statetruck.com 10/3/2017
Bill To Ship To
CARMEL STREET DEPARTMENT
3400 West 131 Street
WESTFIELD, IN 46074
Handlinq 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 11 Due Date
MRR cust. pick-up 10/3/2017 10/28/2017
Qty Item Code Description I Price Ea. Extension
81 MM361818.S RC 36"x18"x18" Steel Underbox; BLACK 309.00 2,472.00
--TEXTURED FINISH
I
II
�f�
Serial #
Serial #
Subtotal $2,472.00
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [ ] Auth. # Total Invoice Amount $2,472.00
Payment Received $0.00
Received by Date
Balance Due $2,472.00
Thank you for your business!