190936 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 00351632 Page 1 of 1
ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT
CARMEL, INDIANA 46032 990 S WHITE AVE CHECK AMOUNT: $888.36
SHERIDAN IN 46069
CHECK NUMBER: 190936
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 031911914 888.36 REPAIR PARTS
REMIT TO Reynolds Farm Equipment Parts i
6 z m
990 S. White Ave.
Sheridan, IN 46069
317/768-4116 8001333-6947
www.reynoldsfarmequipment,com JOHN DEERE
S CITY OF CARMEL STREET D PAGE H CITY OF CARMEL STREET D
L 3400 W. 131ST ST. 1
D *MAIL ORIGINAL INVOICE CASH CHG. OTHER P
CARMEL IN 46032 US
T ACCT. NO T
11340
SALESMAN ORDER NO, RO.NO. PHONE INVOICE DATE TIME INVOICE NO.
111 SHOP 0 27SEP10 14:37 03 1911914
''V m w ANTITIES ia�ffi PRICES P�
ORDERED $HIPPED. B10� 1a PART .INUMBER- ,,,�;,3;DESCRlPTION e� -ems$ LISTm NET EXTENSION 11,
MAKE: JD MODEL: SERNO: HRS:
4 N XlJS43 -12.12 HOSE FITTIN BENCHE 24.49 24.49 97,96
2 N X1JS43 -12 -12 HOSE FITTINXY BENCHE 24.49 24.49 48.98
2 N XlJ143 -12 -12 ELBOW FITTI BENCHE 44.57 44.57 89.14
2 N XlJ143 -12 -12 ELBOW FITTIXY BENCHE 44.57 44.57 89.14
2 N X1J143 -12 -12 ELBOW FITTIXY BENCHE 44.57 44.57 89.14
600 N X302 -12 -RL BULK HOSE BENCH .79 .79 474.00
Shop www.GreenFarmToys.com for a hu a selec ion of
licensed John Deere gifts, toys and clothin
AFETY
liv it€� it
DESCRIPTION ACCOUNT AMOUNT
SHIP VIA
PARTS T A X A B LE
Accounts Due on or Before 10th of Month Following Purchase. PARTS NONTAXBL 888.36
A FINANCE CHARGE with a periodic rate of 1 Y 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 in a M I S C N O N T A X A B L I
non taxable manner as specified in the State Gross Retail Tax Act. SALES TAX
signature PLEASE PAY THIS T OTAL 888.36
924 4
LF -1137C Ver. CUSTOMER COPY
VOUCHER NO. WARRANT NO.
ALLOWED 20
Reynolds Farm Equipment/Sheridan
IN SUM OF
990 S. White Avenue
Sheridan, IN 46049
$888.36
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Member:
2201 03 1911914 42 370.00 $888.36 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 October 07, 201
Street Commissioner�
f N
5ireel nmmissioner
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))
09/27/10 031911914 $888.36
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