176409 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 00350251 Page 1 of 1
ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT CHECK AMOUNT: $106.20
CARMEL, INDIANA 46032 PO BOX 218
FISHERS IN 46038 CHECK NUMBER: 176409
CHECK DATE: 8/19/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM OUNT DESCRIPTION
1207 4350000 01- 2834798 40.20 EQUIPMENT REPAIRS
1207 4350000 01- 2834799 66.00 EQUIPMENT REPAIRS M
REMIT TO: Reynolds Farm Equipment Parts In voice
EvNOtos m P. O. Box 218
Fishers, IN 46038
317/849 -0810 800/382 -9038
www.reynoldsfarmequipment.com JOHN DEERE
SS CITY OF CARMEL /BROOKSHI PAGE H CITY OF CARMEL /BROOKSHI
C *MAIL INV -BOB HIGGINS* 1 I 12120 BROOKSHIRE PKWY
D 12120 B R O O K S H I R E PKWY cnsH CHG. OTHER P
CARMEL IN 46032 US
T ACCT. NO T
O 300004
SALESMAN ORDER NO. RO.NO. PHONE INVOICEDATE TIME INVOICE NO.
34 0 10AUG09 15:10 01 2834798
r �OUAN;T TIES BIN PRICES
ORDERED: SHIPPED B /0,__ PART "'NUMBER RIP
o,
c DESCRIPTION.,, LIST FJC�TENSION
MAKE: JD MODEL: SERNO: HRS:
1 N H58118 RUBBER GSKT NSTK 26.45 26.45 26.45
1 N SHIPPING HANDLING 13.75 13.75 13.75
Shop www.reynoldsfarme' gUi or the largest
selection and best pri,ce..s on John D ere gifl items!I
y
1
DESCRIPTION ACCOUNT AMOUNT
SHIP VIA
PARTSTAXABLE
Accounts Due on or Before 10th of Month Following Purchase.. PARTS NONTAXBLE 26.45
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 13 75
non taxable manner as specified in the State Gross Retail Tax Act. SALES TAX
Signature
PLEASE PAY THIS TOTAL 40 20
LF -1137C Vet. 924534 CUSTOMER COPY
,L
REMIT TO: Reynolds Farm Equipment parts In voice
6R P, O. Box 218
Fishers, IN 46038
317/849 -0810 •800/382 -9038
www.reynoldsfarmequipment.com JOHN DEERE
S CITY OF CARMEL /BROOKSHI PAGE H CITY OF CARMEL /BROOKSHI
C *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
SALESMAN ORDER NO. RO.NO. PHONE INVOICE DATE TIME INVOICE NO.
34 01798005 317 846 -7431 10AUG09 15:10 01 2834799
QUANTITIES a PRICES
n BIN'S
ORDERED: SHIPPED B /0 W w. PART;NUMBER �i. DESCRIPTION =LIST �a NETT EXTENSION.-
MAKE: JD MODEL: SERNO: HRS:
1 N AMT1635 SUPPORT OY C 66.00 66.00 66.00
Shop www.reynoldsfarmequ,ipment.com or the argest
selection and best prices on John D ere gif items!I
e 1
f .a§
DESCRIPTION ACCOUNT AMOUNT
SHIP VIA
PARTS TAXABLE
Accounts Due on or Before 10th of Month Following Purchase. PARTS NONTAXBLI 66.00
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.
MISC NONTAXABL
AGRICULTURE SALES EXEMPTION I hereby verify that the property described above is.used in a
non taxable manner as specified in the State Gross Retail Tax Act. SALES TAX
Signature
PLEASE PAY THIS TOTAL 66 00
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.
Payee
Purchase Order No.
Terms
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
YOUCHER NO. WARRANT NO.
ALLOWED 20
ld��
IN SUM OF
Z �o
ON ACCOUNT OF APPROPRIATION FOR
I L
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1- 0 materials or services itemized thereon for
which charge is made were ordered and
received except
20 G
h na ture
Gc tm
itle
Cost distribution ledger classification if
claim paid motor vehicle highway fund