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180517 12/16/2009 CITY OF CARMEL, INDIANA VENDOR: 00350251 Page 1 of 1 f ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT CARMEL, INDIANA 46032 PO BOX 218 CHECK AMOUNT: $235.71 FISHERS IN 46036 CHECK NUMBER: 180517 CHECK DATE: 12/16/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 01 2849102 235.71 REPAIR PARTS REMIT TO: Reynolds Farm Equipment P a l"tS in voice i EYNOtos i l P. 0. Box 218 Fishers, IN 46038 3171849 -0810 800(382 -9038 vaww.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. cnsH CHG. OTHER P WESTFIELD IN 46072 US T ACCT. NO T 0 O 11340 SALESMAN ORDER NO. RO. N0, PHONE INVOICE DATE TIME INVOICE NO. 101 01836029 317- 733 -2001 09DEC09 15:11 01 2849102 QUANTITIES PRICES *�t ¢e a `°`m d d 's :i �L_4hY>; e r 4 Zm� 1% ORDERED:: SHIPPED BIO PART- .NUMBER; DESCRIP.TIO N f, is GLISTm „NET �EXTENSIONG, MAKE: JD MODEL: SERNO: HRS: 1 N X2507 -16 -16 ELBOW FITTI V103D 30.97 21.681 21.68 1 N X13943 -16 -16 ELBOW FITTI V102H 49.50 34.65 34.65 1 N X10143 -16 -16 HOSE FITTIN V102H 25.06 17.54 17.54 170 N X302 -16 -RL BULK HOSE BENCH 1.36 .95F 161.84 4�'i'.d i DESCRIPTION ACCOUNT AMOUNT SHIP VIA PARTS TAXABLE Accounts Due on or Before 10th of Month Following Purchase. PARTS NONTAXBL 235.71 A FINANCE CHARGE with a periodic rate of 1V: per month, which is an ANNUAL RATE: OF I J C TAXABLE 18 may be applied to the previous balance after it becomes more than 30 days past due. AGRLCULTURE SALES EXEMPTION 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 I non- taxable manner as specified in the State Gross Retail Tax Act. SALES TAX Signature PLEASE PAY THIS TOTAL 235 71 I 137 Ver. 924534 CUSTOMER COPY VOUCHER NO. WARR NO. ALLOWED 20 Reynolds Farm Equipment IN SUM OF P. O. Box 218 Fishers, IN 46038 $235. ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 2201 01 2849102 42- 370.00 $235.71 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 /I I /�riday, D ?cemt'er 11, 2009 UWL41 1 Street Commission Shtmt C tle itillissioner Ti 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)) 12/09/09 012849102 $235.71 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