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206796 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 00350251 Page 1 of 1 ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT CHECK AMOUNT: $22.69 CARMEL, INDIANA 46032 PO BOX 218 FISHERS IN 46038 CHECK NUMBER: 206796 CHECK DATE: 2/28/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 P35979 22.69 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 EYNOLDS 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 Date Time Page Account No. Phone No. Invoice No. ARME 23 31 7 7332001 P Ship Via Purchase Order Invoice To: CITY OF CARMEL STREET DEP KUBOTA 3400 W. 131ST ST. *MAIL ORIGINAL INVOICE CARMEL IN 46074 Salesperson 037 PARTS INVOICE ORDER 033985 Part# DESCRIPTION Bin ORD ISS SHP B/O UTT Price Amount XH2 -63 HYDR.QUICK COUP V102G 1 1 1 10.10 10.10 XH2 -62 HYDR.QUICK COUP V102G 1 1 1 22.28 22.28 DISC DISCOUNTS 1- 1- 1- 9.69 9.69CR TOTAL CHARGE 22.69 TOTAL WEIGHT .40 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. n AGRICULTURE SALES EXEMPTION 1 hereby verify that the property described above is used in a j r+fe` 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)) 02/15/12 P35979 $22.69 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. WARRA NO. ALLOWED 20 Reynolds Farm Equipment IN SUM OF P. O. Box 218 Fishers, IN 46038 $22.69 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board MemberE 2201 P35979 42- 370.00 $22.69 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, February 23, 2012 U Street Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund