179392 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 00350251 Page 1 of 1
Q� ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT CHECK AMOUNT: $126.74
CARMEL, INDIANA 46032 Po Box 218
oN FISHERS IN 46038 CHECK NUMBER: 179392
CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUMB INVOICE NU AMOUNT DESCRIPTION
1207 4350000 012844500 130.00 EQUIPMENT REPAIRS M
1207 4350000 CREDIT -3.26 EQUIPMENT REPAIRS M
r
REYNOLDS FARM EQUIPMENT, INC.
e +rains FISHERS, INDIANA
(317) 849 -0810 (800) 382 -9038 ,JOHN DEERE
ANDERSON, IN MUNCIE, IN SHERIDAN, IN
(765) 642 -2121 (765) 289 -1833 (317) 758 -4116
(877) 642 -2121 (800)488 -3949 (800)333 -6947
DATE:
b fop6k. r
SALE O SA SA REG'D ON ACC ARGE OUD
CASH Q CHECK O CARD
QTY. PT. NUMBER DESCRIPTION UNIT PRICE TOT. OU
SUBTOTAL
Salesman: TAX
5 0 0 65 6 TOTAL o�clj
OFFICE COPY
REMIT TO: 6 E�YNW;S i--� Reynolds Farm Equipment Parts Invoice
P. Box 218
Fishers, IN 46038
317/849 -0810 800/382 -9038
www.reynoldsfarmequipment.com ,JOHN DEERE
PAGE
O CITY OF CARMEL /BROOKSHI S CITY OF CARMEL /BROOKSHI
L *MAIL INV -BOB HIGGINS* 1 1 12120 BROOKSHIRE PKWY
D 12120 B R O O K S H I R E PKWY CASH CHG. OTHER P
CARMEL IN 46032 US
T ACCT. NO T
O O
300004
SALESMAN ORDER NO. RO. NO. PHONE INVOICE DATE TIME INVOICE NO.
72 01820167 317 846 -7431 260CT09 15:51 01 2844500
QUANTITIES PRICES
BINS
a
ORDERED SHIPPED .B10 PART!NUMBER:. }DESCRIPTION..i CIST,� .a. ,�NE1,- w. EXTENSION
MAKE: JD MODEL: SERNO: FIRS:
1 N AW29276 HOLDER XY 130.00 130.00 130.00
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selection and best prices on John D ere gif items!!
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DESCRIPTION ACCOUNT AMOUNT
SHIP VIA
PARTSTAXABLE
Accounts Due on or Before 10th of Month Following Purchase. PARTS NONTAXBL� 130.00
A FINANCE CHARGE with a periodic rate of 1 Y2% 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 i s 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 N11- 130 0 0
LF -1137C Ver. 924534 CUSTOMER COPY
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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.
P'�*) Payee
O C Purchase Order No.
P 2d Terms
I
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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
pQ S
IN SUM OF
7/
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1o209 zi -6;z> 1—k,Z bill(s) is (are) true and correct and that the
1 Z, materials or services itemized thereon for
which charge is made were ordered and
i received except
t
/mot
S* gnatu�
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund