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242601 02/24/15 � Cqq CITY OF CARMEL, INDIANA VENDOR: 00350251 ® il' ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT CHECK AMOUNT: $'**"**170.00* CARMEL, INDIANA 46032 PO BOX 218 CHECK NUMBER: 242601 °M�roN Eb 12501 REYNOLDS DR CHECK DATE: 02/24/15 FISHERS IN 46038 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 P40233 170.00 REPAIR PARTS i Reynolds Farm Equipment 2220 East McGalliard Road 4815 North;State Road 9 102 Deere Park DriveMuncie,IN 47303 Anderson,IN 46012 Mooresville,IN 46158 12501 Reynolds Drive (765)289-1833 (765)642-2121 (317)831-1450 R YNOLDS Fishers, IN 46038 990 South White Avenue 2155 Bellbrook Avenue 600 John C.Watts Drive 1501 Indianapolis Avenue (317) 849-0810 • (800) 382-9038 Shendan, IN 46069 Xenia,OH 45385 Nicholasville,KY 40356 Lebanon,IN 46052 www.reynoldsfarmequipment.com (317) 758-4116 (937)372-7746 (859)885-6600 (765)482-1711 SINCE 1955 Branch __T_ Ship To: SAME AS BELOW FISHERS (CIMNYYY Date Time TInvoiceNo. Account No. Phone No.CARME023 317 7332001 Ship Via Purchase Order Invoice To: CITY OF CARMEL STREET DEP SHOP 3400 W 131ST STREET **MAIL ORIGINAL INVOICE** CARMEL IN 46074 Salesperson 037 PARTS INVOICE ORDER#: 228855 Part# Description Bin ORD ISS SHP B/O UTT Price Amount X13943-16-16 ELBOW FITTING V102H 1 1 1 83 .65 83 .65 X11343-16-16 HOSE FITTING V102H 2 2 2 79.28 158 .56 BINS: V109N DISC DISCOUNTS 1- 1- 1- 72.21 72 .21CR TOTAL CHARGE 170.00 TOTAL WEIGHT=> 3 .37 I Accounts Due on or Before 10th of Month Following Purchase.A FINANCE CHARGE with a periodic rate of 1%per month, which is an ANNUAL RATE OF 12%,may be applied to the previous balance after it becomes more than 30 days past due. AGRICULTURE SALES EXEMPTION - I hereby verify that the property described above is used in a X non-taxable manner as specified in the State Gross Retail Tax Act. Customer Signature 3 Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 02/02/15 P40233 $170.00 I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer 1 VOUCHER NO. WARRANT NO. ALLOWED 20 Reynolds Farm Equipment IN SUM OF $ P. O. Box 218 Fishers, IN 46038 $170.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 P40233 42-370.00 $170.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except / oMry hursda 19, 2015 Street§9ee b6iAiffigsioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund 1