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166861 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 00350251 Page 1 of 1 ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT CHECK AMOUNT: $37.91 CARMEL, INDIANA 46032 Po BOX 218 FISHERS IN 46038 CHECK NUMBER: 166861 CHECK DATE: 12/10/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT D ESCRIPTION '71120 4237000 2808676 5.27 REPAIR PARTS 1120 4237000 2808728 32.64 REPAIR PARTS k 5 :w REMIT TO: Reynolds F arm Eq uipment Parts Invoice EYNDL P. O. BOX 218 Fishers, IN 46038 317/849 -0810 800/382 -9038 www.reynoldsfarmequipment.com JOHN DEERE S CARMEL FIRE DEPARTMENT PAGE S CARMEL FIRE DEPARTMENT L TWO CIVIC SQUARE 1 1 D CASH CHG. OTHER p CARMEL IN 46032 US T ACCT. NO T O 107552 r URDER NO. R0. NO. PHONE INVOICE DATE TIME INVOICE NO. 11 41 01728896 317 571 -2600 02DEC08 12:43 01 2808728 QUANTITIES fir' PRICES rN vv gam ORDERED"'' SHIPPED, B NET, EXTENSIONk Y MAKE: JD MODEL: SERNO: HRS: 1 N X12- 8FTX -S ADAPTER FIT V103H 7.53 5.271 5.27 Above part returnable at dlr discre ion 1 N X10643 -12 -10 HOSE FITTIN V101I 14.59 10.21F 10.21 Above part returnable at dlr discre ion 1 N X12C6X -S ELBOW FITTI V104A 24.52 17.16F 17.16 Above part returnable at dlr discre ion sA DESCRIPTION ACCOUNT AMOUNT SHIP VIA W C PARTS TAXABLE Accounts Due on or Before 10th of Month Following Purchase. PARTS NONTAXBL 32.64 A FINANCE CHARGE with a periodic rate of 1 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 i s used in a M I S C N O N T A X A B L E non taxable manner as specified in the State Gross Retail Tax Act. SALES TAX Signature PLEASE PAY THIS TOTAL 32 64 LF -1137C Ver. 924534 CUSTOMER COPY EYNOtgs REMIT TO: Reynolds Farm Equipment parts Invoice rm P. O. Box 218 V Fishers, IN 46038 317/849-0810 800/382 -9038 www.reynoldsfarmequipment.com JOH DEERE PAGE S CARMEL FIRE DEPARTMENT H CARMEL FIRE DEPARTMENT L TWO CIVIC SQUARE 1 1 D CASH CHG. OTHER P CARMEL IN 46032 US T ACCT. NO T O 107552 0 SALESMAN ORDER NO. RO.NO. PHONE INVOICE DATE TIME INVOICE NO. 11 41 01728812 317 571 -2600 02DEC08 09:58 01 2808676 QUANTITIES PRICES' I ORDERED -SHIPPED B!0 .v PART NUMBER DESCRIPTION.` '.LIST f, ,._,NET EXTENSION h` MAKE: JD MODEL: SERNO: HRS: 1 N X12- 8FTX -S ADAPTER FIT V103H 7.53 5.27R 5.27 Above part returnable at dlr discre ion Y DESCRIPTION ACCOUNT AMOUNT SHIP VIA W C PARTS TAXABLE Accounts Due on or Before 10th of Month Following Purchase. PARTS NONTAXBLE 5.27 A FINANCE CHARGE with a periodic rate of 1 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 i n a M I S C N O N T A X A B L E non taxable manner as specified in the State Gross Retail Tax Act. SALES TAX Signature PLEASE PAY THIS TOTAL 5 27 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 $37.91 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 2808676 42- 370.00 $5.27 1 hereby certify that the attached invoice(s), or 1120 2808728 42- 370.00 $32.64 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 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)) 2808676 Repair Parts $5.27 2808728 Repair Parts $32.64 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