173522 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 00351632 Page 1 of 1
ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT
0 CARMEL, INDIANA 46032 CHECK AMOUNT: $196.00
990 S WHITE AVE
SHERIDAN IN 46069 CHECK NUMBER: 173522
CHECK DATE: 6/1012009
DEPARTMENT ACC OUNT P.O NUMBER I NVOICE NUMBER AM DE SCRIPT ION
2201 4237000 031897204 196.00 REPAIR PARTS
REMIT TO: Reynolds Farm Equipment parts Invoice
6REYNOLDS 990 S. White Ave. T I
Sheridan, IN 46069
317/758 -4116 •800/333 -6947
www.reynoldsfarmequipment.com JOHN DEERE
O CITY OF CARMEL PAGE H CITY OF CARMEL
L ATTN: J. BARNES 1
D ONE CIVIC SQUARE CASH CHG. OTHER P
CARMEL IN 46032 US
T ACCT. NO T
12353 0
SALESMAN ORDERNO. RO.NO. PHONE INVOICE DATE TIME INVOICE NO.
31 01770129 317 416 -4154 21MAY09 09:00 03 1897204
OUANTIT.IES a PRICES
BIN
ORDERED SHIPPED: .BfO�m PART NUMBER DESCRiPT10NE LIST EXTENSION
J P
MAKE: JD MODEL: SERNO: HRS:
2 N M131856 WHEEL BOLT CY -E 1.50 1.50 3.00
STREET DEPT
1 N T19638 WHEEL CENTECY 175.00 175.00 175.00
1 N SHIPPING HANDLING 18.00 18.00 18.00
a
f j 3
iIve
d
DESCRIPTION ACCOUNT AMOUNT
SHIP VIA
PARTS T A X A B L E
Accounts Due on or Before 10th of Month Following Purchase. PARTS NONTAXBL 178.00
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.
AGRICULTURE SALES EXEMPTION I hereby verify that the property described above is used in a M I S C NONTAXABLE 18 00
non- taxable manner as specified in the State Gross Retail Tax Act. SALES TAX
Signature
PLEASE PAY THIS TOTAL 196 00
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))
05/21/09 031897204 $196.00
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. WA N O.
ALLOWED 20
Reynolds Farm Equipment /Sheridan
IN SUM OF
990 S. White Avenue
Sheridan, IN 46049
$196.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Member:
2201 03 1897204 42 370.00 $196.00 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
l A
I Fri Y Ape 5 2009
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Stl���tc�omixti9�iQrner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund