306742 01_05_179)CITY OF CARMEL, INDIANA VENDOR: 201250CHECKAMOUNT: S••"•'"«580.99"
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORPCARMEL, INDIANA 46032 11020 ALLISONVILLE RDCHECK NUMBER: 306742
FISHERS IN 46038 CHECK DATE: 01/05/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350000 92904 580.99 EQUIPMENT REPAIRS & M
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MID-STATE TRUCK EQUIPMENT N Oa Invoice
11020 Allisonville Road Invoice Number:
Retail#: 001104675-001-0 92904
Fishers, IN 46038
Modt-
scacc Truck Equipmcnc Invoice Date:
Phone: 317.849.4903
www mid-statetruckcom 12/16/2016
Fax : 317.849.6441
Bill To Ship To
CARMEL CLAY PARKS & RECREATION
1411 E. 116TH STREET
Carmel, IN 46032
Handling charge added to Credit Customer P.O. No. Terms
Card orders over$500.00: 2.5%on
Visa. MIC.AMEX&Discover 401903 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
AV 12/16/2016 1/10/2017
Item Code Description Price Ea. ExtensionQ Ity ;p
1 MSC09601 !CONTROL,HANDHELD, SMARTOUCH2,V 292.00 292.00
BLADE
11 STB09602 CONTROL,HANDHELD, SMARTOUCH2, STB 282.00' 282.00
BLADE
1 HYD01695 j HOSE,1/4"x15-1/2",1/4"MPxl/4MP 6.99 i 6.99
I
RRI 7-r7 TD I
DEC 19 20'0
BY:
Serial #
Serial #
Subtotal 580.99
Cash [ ] Check [ ] # Sales Tax (7.0%) 0.00
Credit Card [ ] Auth. #
Total Invoice Amount 580.99
Payment Received 0.00
Received by Date
Balance Due 580.99
Thank you for your business!