166367 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: 00350251 Page 1 of 1
ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT CHECK AMOUNT: $111.27
CARMEL, INDIANA 46032 Po Box 218
FISHERS IN 46038 CHECK NUMBER: 166367
CHECK DATE: 11124/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER" AMOUNT DESCRIPT
2201 4237000 03 1892855 111.27 REPAIR PARTS
i
REMIT TO: Reynolds Farm Equipment �al"tS Invoice
T 960 S. White Ave.
I I Sheridan, IN 46069
317/758 -4116 800/333 -6947
www.reynoldsfarmequipment.com J OI"IIV DEERE
i
S CITY OF CARMEL STREET D PAGE H CITY OF CARMEL STREET D
L *MAIL ORIGINAL INVOICE 1 1
D 3400 W. 131ST ST. cnsH CHG. OTHER P
WESTFIELD IN 46072 US
ACCT. NO T
O 11340 0
SALESMAN ORDER NO. RO. NO PHONE INVOICE DATE TIME INVOICE NO.
57 01725521 317 733 -2001 13NOV08 11:12 03 1892855
QUANTITIES
�I
ORDERED SHIPPED B10 *u.. PARTNUMBER_. .DESCRIP „TION_,. EXTENSlOR«
MAKE: JD MODEL: SERNO: HRS:
7 N TY24810 ANTI -SEIZE DISP 13.05 11.751 82.22
Above part returnable at dlr discre ion
1 N X1J943 -10 -10 ELBOW FITTI BENCH 29.05 29.05 29.05
Above part returnable at dlr discre ion
4
u
DESCRIPTION ACCOUNT AMOUNT
SHIP VIA
PARTS TAXABLE
Accounts Due on or Before 10th of Month Following Purchase: PARTS NO- NTAXBL 111. 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 4EXn e previous balance after it becomes more than 30 days past due.
AGRICULTURE SALES TION -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 E
non taxable manner ass a tied in the State Gross Retail Tax Act. SALES TAX
Signature PLEASE PAY THIS TOTAL 111
LF -1137C Ver. 924534 CUSTOMER COPY
VO NO. WARRANT NO.
ALLOWED 20
Reynolds Farm Equipment
IN SUM OF
P. O. Box 218
Fishers, IN 46038
$111.27
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
2201 03 1892855 42- 370.00 $111.27 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 20, 2008
Street Commissioner
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))
11/13/08 031892855 $111.27
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