191816 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 00351632 Page 1 of 1
Q ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT
CHECK AMOUNT: $474.00
CARMEL, INDIANA 46032 990 S WHITE AVE
o SHERIDAN IN 46069 CHECK NUMBER: 191816
ON
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 031912874 474.00 REPAIR PARTS
REN�ITTO: Reynolds Farm Equipment Parts Invoice
6R ElYNOLDS 990 S. White Ave.
Sheridan, IN 46069
3171758 -4116 •8001333-6947
wm.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. OrMER P
CARMEL IN 46074 US
T ACCT. NO T
11340 0
SALESMAN ORDER NO, RO. NO. PHONE INVOICE DATE TIME INVOICE NO.
31 SHOP 01942019 317 733 -2001 250CT10 14 :13 03 1912874
QUANTITIES "'E 81N* vd PRINCES
v av
x
ORDERED $HIPPED' BIO PART NUMBER' R DESCRIPTION ,a. a LIST sNET EXTENSION �A
MAKE: JD MODEL: SERNO: HRS:
600 N X302 -12 -RL BULK HOSE BENCH .79 .79 474.00
Shop www.GreenFarmToys.com for a huge selection of
licensed John Deere gifts, toys and clothin
SAFETY
DESCRIPTION ACCOUNT AMOUNT
SHIP VIA
PARTS TAXABLE
Accounts Due on or Before 10th of Month Following Purchase. PARTS NONTAXBL 474.00
A FINANCE CHARGE with a periodic rate of 1 A% 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
non taxable manner as specified in the State Gross Retail Tax Act. SALES TAX
Signature.
PLEASE PAY THIS TOTAL 474. 0 0
LF -1137C Ver. 924534 CUSTOMER COPY
VOU NO. WARRANT NO.
ALLOWED 20
Reynolds Farm Equipment /Sheridan
IN SUM OF
990 S. White Avenue
Sheridan, IN 46049
$474.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Membe
2201 03 1912874 42- 370.00 $474.00 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, November 04, 2011
kh :fir .W
Street Commissioner
Street Cam
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))
10/25/10 031912874 $474.00
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