158610 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: 00351632 Page 1 of 1
O �f, ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT
o. CARMEL, INDIANA 46032 990 S WHITE AVE CHECK AMOUNT: $69.94
'y!? SHERIDAN IN 46069
�o CHECK NUMBER: 158610
CHECK DATE: 4/15/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER' AMOUNT DESCRIPTION
2201 4237000 031885435 69.94 REPAIR PARTS
REMIT TO: Reynolds Farm Equipment Parts In voice
LxNOtos R 990 S. White Ave.
Sheridan, IN 46069
317/758 -4116 800/333 -6947
www.reynoldsfarmequipment.com JOHN DEERE
S CITY OF CARMEL STREET D PAGE S CITY OF CARMEL STREET D
L *MAIL ORIGINAL INVOICE 1
D 3400 W. 131ST ST. cases CHG. OTHER P
WESTFIELD IN 46072 US
ACCT. NO T
11340 0
SALESMAN ORDER NO. RO.NO. PHONE INVOICE DATE TIME INVOICE NO.
175 0 27MAR08 14:13 03 1885435
;my QUANTITIES
Ay E r PRICES
s r
�N.
,y�... f LIST yNET._ rfEXT:ENSION.
ORDERED SHIPPED B/0 u PARL.NUMBER.: DESCRIPTION
MAKE: JD MODEL:. SERNO: HRS:
1 N LVA13038 OIL FILTER V2L 48.01 48.01 48.01
1 N RE519626 OIL FILTER SH8C 9.16 9.16 9.16
1 N M131803 FILTER ELEM V12TOP 12.77 12.77 12.77
r
i
3
DESCRIPTION ACCOUNT AM OUNT
SHIP VIA
PARTS TAXABLE
Accounts Due on or Before 10th of Month Following Purchase. PARTS NONTAXBL 69.94
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
non- taxable manner as specified in the State Gross Retail Tax Act. SALES TAX
Z Z 69.94
Signature PLEASE PAY THIS TOTAL
LF -1137C Ver. 924534 CUSTOMER COPY
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
j 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.
Pa
yee
I I�l�f� Ok&3) 11)1.,iwy LIB J Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Oct,
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
�p IN SUM OF
ow
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
C) 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
APR I 2008 20
Signa 1 �tOq mW
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund