187428 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 00350251 Page 1 of 1
ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT
CHECK AMOUNT: $59.87
CARMEL, INDIANA 46032 PO BOX 218
•�,_.�o FISHERS IN 46038 CHECK NUMBER: 187428
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 01 2871528 58.64 REPAIR PARTS
2201 4237000 01 2871537 1.23 REPAIR PARTS
r
REMIT TO: Reynolds Farm Equipment Parts In voice
P. Q. Box 218
6 R4 rm% Fishers, IN 46038
3171849-0810 •800/382 -9038
www.reynoldsfarmequipment-com JOHN DEERE
S CITY OF CARMEL STREET D PAGE H CITY OF CARMEL STREET D
3400 W. 131ST ST. 1
ID **MAIL ORIGINAL INVOICE" CASH CHG. OTHER P
CARMEL IN 46074 US
T ACCT. NO T
O 11340 0
SALESMAN ORDER NO. RO. NO. PHONE INVOICE DATE TIME INVOICE NO.
101 01896444 317 733 -2001 25JUN10 09:16 01 2871537
QUANTMES� PFiICESZ E
BIN
ORDERED ;SHIPPED B10 PA 7 NUMBERzy ry u', DESCRIPTION, '1 i fir# EXTENSION
MAKE: JD MODEL: SERNO: HRS:
4 N XHG -100 HOSE SPRING BENCH .51 .311 1.23
N"
A Ff t
DESCRIPTION ACCOUNT AMOUNT
SHIP VIA
PARTS TAXABLE
Accounts Due on or Before ]10th of Month Following Purchase. PARTS NONTAXBL 1.23
A FINANCE CHARGE with a periodic r to of 1 per month, which is an ANNUAL RATE OF MISC TAXABLE
18%, may be applied to the previous glance after it becomes more than 30 days past due.
MISC NONTAXABL
AGRICULTURE SALES EXEM TION 1 hereby verif t th property described above is used in a
non taxable manner as spe in th State Gross Rata' t. SALES TAX
i
Signature PLEASE PAY THIS TOTAL' 1
L5 -1137C Ver. 924534 CUSTOMER COPY
REMIT TO: Reynolds Farm Equipment Parts Invoice 6 rvmotRS T P. 0 Box 218
I Fishers, IN 46038
3171849 -0810 8001382 -9038
wvvw,reynoldsfarmequipment.com JOHN DEERE
0 CITY OF CARMEL STREET D PAGE H CITY OF CARMEL STREET D
3400 W. 131ST ST. 1 1
p *MAIL ORIGINAL INVOICE casH CHG. OTHER
CARMEL IN 46074 US
T ACCT. NO T
0 11340 0
SALESMAN ORDER NO. RO. NO. PHONE INVOICE DATE TIME INVOICE NO.
101 01896437 317- 733 -2001 25JUN10 09:10 01 2871528
.QUANTITIES x, 't I "Z PRICES
aTVx x i 1 4 CE
ORDERES] SHIPP.EO 610 x� PART NUMBER': a +E, ,DESCRIPTION y x LISTn� ,NET r t EXTENSION
MAKE: JD MODEL: SERNO: HRS:
1 N X16243 -8 -8 ELBOW FITTI V104G 40.36 28.251 28.25
1 N X19243 -8 -8 HOSE FITTIN V104G 22,30 15.61 15.6.1
44 N X302 -8 -RL BULK HOSE BENCH .48 .34F 14.78
<w
a A��
�z
�E.
DESCRIPTION ACCOUNT AMOUNT
SHIP VIA
PARTSTAXABLE
Accounts Due on or Before 10th of Month Following Purchase. PARTS NONTAXSLE 58.64
A FINANCE CHARGE with a periodic r to of 1 Y %per month, which is an ANNUAL RATE OF M I S C T A X A B L E
18 may be applied to the previous alance after it becomes more than 30 days past due.
AGRICULTURE SALES EXEMPTION hereby verify that the property described above is used in a M I S C NONTAXABL
non taxable manner as specified in t e State Gross Retail Tax Act. SALES TAX
Signature
PLEASE PAY THIS TOTAL 58 64
LfE 1137C Ver. 924534 CUSTOMER COPY
VOUCHER NO. WAR NO.
ALLOWED 20
Reynolds Farm Equipment
IN SUM OF
P. O_ Box 218
Fishers, IN 46038
$59.87
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITi_E AMOUNT Board Member;
2201 01 2871528 42- 370.00 $58.64 1 hereby certify that the attached invoice(s), or
2201 01 2871537 42- 370.00 $1.23 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
�Tpursd"iy' July 01, 2010
Street Commissioner
Street Corn }je5ivs er
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
06125/10 012871528 $58.64
06/25/10 012871537 $1.23
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