252110 1 2/02/1 5 "f CITY OF CARMEL, INDIANA VENDOR: 00350251
4� t�
® a ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT CHECK AMOUNT: $""'""`95.04"
;� CARMEL, INDIANA 46032 1451 E 276TH ST CHECK NUMBER: 252110
•.y,IQN.�o. ATLANTA IN 46031 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 P03968 95.04 REPAIR PARTS
Reynolds Farm Equipment 2220 East McGalliard Road 102 Deere Park Drive 1501 Indianapolis Avenue
Muncie,IN 47303 Mooresville,IN 46158 Lebanon,IN 46052
1451 E 276th Street (765)289-1833 (317)831-1450 (765)482-1711
SE�YN�OLDSS Atlanta,IN 46031
317 758-4116 • 800 333-6947 12501 Reynolds Drive 2155 Bellbrook Avenue 600 John C.Watts Drive
Fishers,IN 46038 Xenia,OH 45385 Nicholaswlle,KY 40356
www.reynoldsfarmequipment.com (317)849-0810 (937)372-7746 (859)885-6600
SINCE 1955
Branch
Ship To: SAME AS BELOW FISHERS CNNYYY
Date Time Page
11/23/15 13:24:16 O � 01
Account No. Phone No. Invoice No.
CARME023 317 7332001 P03968
Ship Via Purchase Order
Invoice To: CITY OF CARMEL STREET DEPT NEED PO
3400 WEST 131ST STREET
CARMEL IN 46074
Salesperson
195
PARTS INVOICE
ORDER#: 260238
Part# Description Bin ORD ISS SHP B/O UTTTT Price Amount
X10143-8-8 HOSE FITTING V101F 12 12 RETAIL 11.31
12 7.92 95.04
TOTAL CHARGE 95.04
TOTAL WEIGHT=> 3.24
REYNOLDS STORE MERCHANDISE RETURN POLICY
WITH RECEIPT:Return any unopened it=within 30 days of purchase to airy Reynolds location for a hill rete l in the original forth of pWam.If 0-receipt is
presented purchase will be refunded in the form of in store credit.
WITHOUT RECEIPT:Nschase infomafion will be ranked W by account number.R we are able to access your receipt.you will necekne a refund to the oriGnal accourd
ora store credit
WITHOUT PROOF OF PURCHASE:No returns,exchanges,refunds,or credit.
SpedelordadamaesnOJedtoe20%restod ,efee.6eddre/eMhe/relanddam ale ronae0imffils Aapsned
Accounts Dueonor Before 10thof Month Following Purchase.A FINANCE CHARGE with a periodic rate of 1%permomh,which is an ANNUAL RATE OF 12% v
may be applied to the previous balance after it becomes more than 30 days past due. A
AGRICULTURE SALES EXEMPTION-I herebyserifythat the properlydescribed above is used in a non-taxable manner as specified in the State Gross Retail Tax Act Customer Signature
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))
11/23/15 P03968 $95.04
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Reynolds Farm Equipment
IN SUM OF$
1451 E. 276th St.
Atlanta, IN 46031
$95.04
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I P03968 I 42-370.001 $95.04 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
��Monday;Novee�0t20?5
r �d / //
Str4PF— ffnr ssio'i e�r
Title
Cost distribution ledger classification if 4
claim paid motor vehicle highway fund
I