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183927 03/29/2010 CITY OF CARMEL, INDIANA VENDOR: 00351632 Page 1 of 1 isQ� ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT CHECK AMOUNT: $170.52 CARMEL, INDIANA 45032 990 S WHITE AVE SHERIDAN IN 46069 CHECK NUMBER: 183927 CHECK DATE: 3129/2010 DEPARTMENT ACCO PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 031905047 170.52 REPAIR PARTS i` REMIT TO: Reynolds Farm Equipment parts In voice �rrNdlos 990 S. White Ave. I Sheridan, IN 46069 3171758-4116 •800/333 -6947 www.reynoldsfarmequiprnent.com JOHN DEERE 0 CITY OF CARMEL STREET D PAGE H CITY OF CARMEL STREET D L *MAIL ORIGINAL INVOICE 1 Li 3400 W. 131ST ST. cases CHG. OTHER P WESTFIELD IN 46072 US T ACCT. NO T 0 11340 0 SALESMAN ORDER NO. RO. NO. PHONE INVOICE DATE TIME INVOICE NO. 64 01852817 317 733 -2001 15MAR10 14:31 03 1905047 QUANTITIES li PRICES I BINS r ORDEREDz SHIPPED' FSIO v., I `r PART.NUMBER 4 c ,`DESCRIPTION .7 �`r.,�.',. ,EXTENSION «w° MAKE: MODEL: SERNO: HRS: 12 N TY24810 ANTI -SEIZE DISP 14.21 14.21 170.52 Shop www.GreenFarmToys.com for a huge selec ion of licensed John Deere gifts, toys and clothin 1! 1 all F Az�� s DESCRIPTION ACCOUNT AMOUNT SNIP VIA PARTS T A X A B L E Accounts Due on or Before 16th of Moiith Following Purchase. PARTS NONTAXBL 170.52 A FINANCE CHARGE with a periodic rateof 1 V2% per month, which is an ANNUAL RATE OF M I S C 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 is used i n n M I S C N O N T A X A B L E non taxable manner as specified in the State Gross Retail Tax Act. SALES TAX Signature PLEASE PAY THIS TOTAL 11110� 170 .52 LF -1137C Ver. 924534 CUSTOMER COPY V OUCHER N O. WARR NO. ALLOWED 20 Reynolds Farm Equipment/Sheridan IN SUM OF 9G0 S. White Avenue Sheridan, IN 46049 $170.52 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. I ACCT /TITLE AMOUNT Board Members 2201 03 1905047 42- 370.00 $170.52 I 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, March 25, 2010 Street Commissioner ti Titie Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts I 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)) 03/15/10 031905047 $170.52 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