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177828 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 00351632 Page 1 of 1 ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT CHECK AMOUNT: $136.61 CARMEL, INDIANA 46032 990 S WHITE AVE «o SHERIDAN IN 46069 CHECK NUMBER: 177828 CHECK DATE: 9/2912009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 03 1900774 14.38 REPAIR PARTS 2201 4237000 03 1900881 122.23 REPAIR PARTS f REMIT TO: Reynolds Farm Equipment Parts In voice UR V EYNOLOS �`�°y 990 S. White Ave. I I 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 O 3400 W. 131ST ST. cnsH CHG. OTHER P WESTFIELD IN 46072 US T ACCT. NO T 11340 O SALESMAN ORDER NO. RO.NO. PHONE INVOICE DATE TIME INVOICE NO. 175 01810878 317 733 -2001 11SEP09 10:36 03 1900881 QUANTITIES a PRICES ORDERED SHIPPED BIO v PART NUMBER',., DESCRIPTION,..,., LIST..,.NET :EXTENSION MAKE: JD MODEL: SERNO: HRS: 1 N SHIPPING HANDLING 5.00 5.00 5.00 1 N RE507766 INJECTION N V3K 122.23 122.23 122.23 1- N CRRE507766 LESS CORE 5.00 5.00 5.00 s t e DESCRIPTION ACCOUNT AMOUNT SHIP VIA PARTSTAXABLE Accounts Due on or Before 10th of Month Following Purchase. PARTS NONTAXBL 117.23 A FINANCE CHARGE with a periodic rate of 1' /z 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 in a M I S C N O N T A X A B L I 5. 00 non taxable manner as specified the State Gross Retail Tax Act. SALES TAX d Signature eT. 45 PLEASE PAY THIS TOTAL TI 122 23 LF -1137C V CUSTOMER COPY REMIT TO: Reynolds Farm Equipment Parts I nvoice M 990 S. White Ave. Sheridan, IN 46069 317/758 -4116 800/333 -6947 vwwv.reynoldsfarmequipmeni.com JOHN DEERE S CITY OF CARMEL STREET D PAGE H CITY OF CARMEL STREET D L *MAIL ORIGINAL INVOICE 1 D 3400 W. 131ST ST. ca sH CHG. OTHER P WESTFIELD IN 46072 US T ACCT. NO T O 11340 D SALESMAN ORDER NO. RO. NO. PHONE INVOICE DATE TIME INVOICE NO. 175 01808384 317 733 -2001 08SEP09 08:08 03 1900774 QUANTITIES "'"'PRICES, '.,.y..z„ BIN ORDERED; SHIPPED `�B /0 �4 PART�NUMBER DESCRIP,TIONi LIST• NET w,5 EXTENSION „w MAKE: MODEL: SERNO: HRS: 2 N 4137 182 -1001 THROTTL C8E 4.15 4.15 8.30 2 N 1110 400 -7005 SPARK P C8A 3.04 3.04 6.08 r� DESCRIPTION ACCOUNT AMOUNT SHIP VIA PARTS TAXABLE Accounts Due on or Before 10th of Month Following Purchase. PARTS NONTAXBL 14.38 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 in a M I S C N O N T A X A B L E non taxable manner as specified in the State Gross Retail Tax Act. SALES TAX Signature PLEASE PAY THIS TOTAL 14.38 LF -1137C Ver. 924534 CUSTOMER COPY 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)) 09/08/09 031900774 $14.38 09/11/09 031900881 $122.23 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 Reynolds Farm Equipment /Sheridan IN SUM OF 990 S. White Avenue Sheridan, IN 46049 $136.61 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 03 1900774 42- 370.00 $14.38 1 hereby certify that the attached invoice(s), or 2201 03 1900881 42- 370.00 $122.23 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, September 24, 2009 )'n d J UVA16ire`d Commissioner Title V Cost distribution ledger classification if claim paid motor vehicle highway fund