205271 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00350251 Page 1 of 1
t. ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT
CARMEL, INDIANA 46032 PO BOX 218 CHECK AMOUNT: $2.23
FISHERS IN 46038 CHECK NUMBER: 205271
CHECK DATE: 1/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 P29956 2.23 REPAIR PARTS
Reynolds Farm Equipment 2220 East McGalliard Road 4815 North State Road 9 312 Bank Street 102 Deere Park Drive
Muncie, IN 47303 Anderson, IN 46012 Lodi, OH 44254 Mooresville, IN 46158
12501 Reynolds Drive P.O. Box 218 (765) 289 -1833 (765) 642 -2121 (330) 948 -9514 (317) 831 -1450
EYNOLD8 Fishers, IN 46038
(317) 849-0810 (800) 382 -9038 990 South White Avenue 2155 Bellbrook Avenue 600 John C. Watts Drive 1501 Indianapolis Avenue
Sheridan, IN 46069 Xenia, OH 45385 Nicholasville, KY 40356 Lebanon, IN 46052
www.reynoldsfarmequipment.com (317) 758 -4116 (937) 372 -7746 (859) 885 -6600 (765) 482 -1711
SINCE 1955
Branch
Ship To: SAME AS BELOW FISHERS
Date Time Page
i �l
Account No. Phone No. Invoice No.
ARMED 7 31 7 712 I
Ship Via Purchase Order
Invoice To: CARMEL FIRE DEPARTMENT E43
TWO CIVIC SQUARE
CARMEL IN 46032
Salesperson
037
PARTS INVOICE
ORDER 028602
Part# DESCRIPTION Bin ORD ISS SHP 3/0 UTT Price Amount
X5- 4FTX -S ADAPTER FITTING V103H 1 1 1 2.23 2.23
TOTAL CHARGE 2.23
Accounts Due on or Before 10th of Month Following Purchase. A FINANCE CHARGE with a periodic rate
of 1% per month, which is an ANNUAL RATE OF 12 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 X
non taxable manner as specified in the State Gross Retail Tax Act. Customer Signature
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))
P29956 E43 $2.23
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Reynolds Farm Equipment
IN SUM OF
P.O. Box 218
Fishers, IN 46038
$2.23
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE I AMOUNT Board Members
1120 I P29956 I 42- 370.00 I $2.23 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
J AN 4 201
s r;_ 6't3
1
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund