192554 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 00351632 Page 1 of
E 1 ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT CHECK AMOUNT: $548.16
CARMEL, INDIANA 46032 990 S WHITE AVE
SHERIDAN IN 46069 CHECK NUMBER: 192554
CHECK DATE: 12/712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 031913496 548.16 REPAIR PARTS
REMIT TO: Reynolds Farm Equipment Parts In voice
rvNa es
v 990 S. White Ave.
Sheridan, IN 46069
3171758 -4116 800/333 -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 46074 US X
T ACCT. NO T
11340 0
SALESMAN ORDER NO, R0. N0, PHONE INVOICE DATE TIME INVOICE NO.
111 IEVER SEE 01949205 317 733 -2001 22NOV10 14:03 03 1913496
QUANTITIES PRICESri r
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3^'*r• A i l P v3" A s, s� d �?�,r sn`�^ a pr7 E a ab, za 34"r.''',d 7 p; N t, BIN
ORDERED SHIPPED w B10 3:, 4 PART4NUMBER: P,TIONs. a r,
DESCRI a? 9 An LIST 0 �I 3EXTENSION
MAKE: JD MODEL: SERNO: HRS:
48 N TY24810 ANTI -SEIZE DISP 12.69 11.42 548.16
Shop www.GreenFarmToys.com for a hu a selec ion of
licensed John Deere gifts, toys and clothin !1
a
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a lb
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DESCRIPTION ACCOUNT AMOUNT
SHIP VIA
PARTSTAXABLE
Accounts Due on or Before 10th of Month Following Purchase. PARTS NONTAXBL 548.16
A FINANCE CHARGE with a periodic rate of 1 1 /i% 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 TOTAL 0- 548. 16
LF -1137C Ver. 924534 CUSTOMER COPY
r
VOUCHER NO. WARRANT NO.
ALLOWED 20
Reynolds Farm Equipment/Sheridan
IN SUM OF
990 S. White Avenue
Sheridan, IN 46049
$548.16
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. I ACCT #!TITLE AMOUNT Board Members
2201 03 1913496 42- 370.00 $548.16 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 /De cErrnlier 02, 2010
l V a V `t E I� F
Street Commission�er
ti7 L1 CCl l�Om -^IJsioner
Title'
Cost distribution ledger classification if
claim paid motor vehicle highway fund
1
i
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 showy 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))
11/22110 031913496 $548.16
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