183439 03/16/2010 a CITY OF CARMEL, INDIANA VENDOR: 00351632 Page 1 of 1
f ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT
;o CARMEL, INDIANA 46032 990 S WHITE AVE CHECK AMOUNT: $104.72
SHERIDAN IN 46069
CHECK NUMBER: 183439
CHECK DATE: 3116/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 031904957 104.72 REPAIR PARTS
REMIT TO: Reynolds Farm Equipment Parts Invoice
6 R t q h 7 1 990 S. White Ave.
Sheridan, IN 46069 91
3171758-4116 8001333 -6947
vwwv.reynoldsfarmequipment.com ,JOHN DEERE
S CITY OF CARMEL STREET D PAGE H CITY OF CARMEL STREET D
L *MAIL ORIGINAL INVOICE 1
D 3400 W. 131ST ST. cases CHG. OTHEP P
WESTFIELD IN 46072 US
T ACCT. NO T
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11340
SALESMAN ORDER NO. RO.NO. PHONE INVOICE DATE TIME INVOICE NO.
64 01851803 317 733 -2001 11MAR10 10:43 03 1904957
QUANTITIES E 66 K. t_, PRICES x°<
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ORDERED;',SHIPP.ED. ,BlO� PARTNUMBER�,f �DESCRIP710N, P,; R -:r a afST..' ^NET_„ "EXTENSION,
MAKE: JD MODEL: SERNO: HRS:
2 N LVA13038 OIL FILTER V2L 52.36 52.36 104.72
Shop www.GreenFarmToys.com for a hu a selec ion of
licensed John Deere gifts, toys and clothin
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DESCRIPTION ACCOUNT AMOUNT
SHIP VIA
PARTS TAXABLE
Accounts Due on or Before 10th of Month Following Purchase. PARTS NONTAXBLI 104.72
A FINANCE CHARGE with a periodic rate of 1 per month, which is an ANNUAL RATE OF MISC TAXABLE
18 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 i s used in a M I S C N O N T A X A B L I
non taxable manner as jr f ie in the State Gross Retail Tax Act. SALES TAX
�6 7
Signature
Ver. 9� 5
PLEASE PAY THIS TOTAL 10 4 7 2
LF -1137C CUSTOMER COPY
VOUCHER NO. WARRA NO.
Reynolds Farm Equipment/Sheridan ALLOWED 20
IN SUM OF
990 S. White Avenue
SYieridan, IN 46049
$104.72
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 03 1904957 42- 370.00 $104.72 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
Thursday, MaM 11, 2010
.4
Street Commissioned
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 261 (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
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. 4
Payee
Purchase Order No,
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/11/10 031904957 $104.72
1 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