189973 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 00350251 Page 1 of 1
ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT CHECK AMOUNT: $50.18
�o CARMEL, INDIANA 46032 PO Box 218
FISHERS IN 48038 CHECK NUMBER: 189973
CHECK DATE: 911412010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350000 012884456 50.18 EQUIPMENT REPAIRS M
REMIT TO: Reynolds Farm Equipment parts Invoice
VqM O. Box 218
Fishers, IN 46038
3171849 -0810 800/382 -9038
www.reynoldsfarmequipment.com JOHN [DEERE
S CITY OF CARMEL /BROOKSHI PAGE H CITY OF CARMEL /BROOKSHI
L *MAIL INV -BOB HIGGINS* 1 I 12120 BROOKSHIRE PKWY
D 12120 BROOKSHIRE PKWY CASH CHG. OTHER P
CARMEL IN 46032 US
T ACCT. NO T
O 300004 D
SALESMAN ORDERNO. RO.NO. PHONE INVOICE DATE TIME INVOICE NO.
122 01924581 317 -846 -7431 03SEP10 12:20 01 2884456
QUANTITIES
fw. x k es'c'3 'cry
ORDERED SHIPPED, a81Q,,,� ,PART NUMBER v`s �.�DESCRIP,TiONt t u LIST. ET EX7ENSION�
MAKE: JO MODEL: SERNO: HRS:
36 N X302 -6 -RL BULK HOSE BENCH .42 .42 15.12
1 N X10243 -8 -6 HOSE FITTIN V101D 11.04 11.04 11.04
1 N X10143 -8 -6 HOSE FITTIN V101C 6.48 6.48 6.48
1 N X0107 -4.2 ADAPTER FIT V103B 11.98 11.98 11.98
1 N X0107 -4 -6 ADAPTER FIT V103B 5.56 5.56 5.56
a,
DESCRIPTION ACCOUNT AMOUNT
SHIP VIA
PARTS TAXABLE
Accounts Due on or Before 10th of Month Following Purchase. PARTS NONTAXBL 50.18
A FINANCE CHARGE with a periodic rate of 1 1 /2% per month, which is an ANNUAL RATE OF M I 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 in a MISC NONTAXABL
non taxable manner as specified in the State Gross Retail Tax Act. SALES TAX
Signature
PLEASE PAY THIS TOTAL 10' 50. 1 g.
LF -1137C Ver. 924534 CUSTOMER COPY
VOUCHER NO. WARRANT NO.
ALLOWED 20
Reynolds Farm Equipment
IN SUM OF
P.O. Box 218
Fishers, IN 46038
$50.18
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1207 01 2884456 43- 500.00 $50.18 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
Friday, September 10, 2010
Director, Brookshirg olf Club
Title
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))
09/03/10 01 2884456 Repair Parts $50.18
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