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172014 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 00350251 Page 1 of 1 t' ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT CARMEL, INDIANA 46032 PO Box 218 CHECK AMOUNT: $32.13 FISHERS IN 46038 CHECK NUMBER: 172014 CHECK DATE: 4129/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 REIMB 32.13 REPAIR PARTS REMIT TO: Reynolds Farm Equipment P arts Invoice EYNDLDS M P. O. Box 218 l V Fishers, IN 46038 317/849 -0810 •800/382 -9038 www.reynoldsfarmequipment.com JOHN DEERE S CITY OF CARMEL STREET D PAGE H CITY OF CARMEL STREET D L *MAIL ORIGINAL INVOICE 1 1 D 3400 W. 131ST ST. cnsH CHG. O7HEH P WESTFIELD IN 46072 US T ACCT. NO T 0 11340 0 SALESMAN ORDER NO. RO. NO. PHONE INVOICE DATE TIME INVOICE NO. 67 01755228 317 733 -2001 15APR09 14:27 01 2818892 QUANTITIES PRICES BIN ORDERED >r SHIPP,ED B /0.....y PARTNUMBER NS DESCRIPTION LIST.., NET EXTEION MAKE: MODEL: SERNO: HRS: 1 N X0107 -24 -24 ADAPTER FIT V103B 32.13 32.13 32.13 3 x 4 ACCOUNT AMOUNT t I° DESCRIPTI PARTSTAXABLE 32.13 s SHIP VIA TS NONTAXBL PAR E Following Purcheso te n: 10th of Month which is an ANNUAL RATE MISC NONTAXABL Due on or Before 1 per month, ore than 30 days past due• M I S C ACCOU CHARGE with a periodic rate of SALES TAX A FINA the previous balance after it becomes m described above is used in e b applied to ro MP ertY may verify that the P P 3 2 •13 d in the State Gross TAL AGRICULTURE SALES EXETION I hereby ecifie Retail Tax Act. y THIS -TO x 'v' non- taxable manner as sp PLEASE PA Signatu CUSTOMER COPY wr LF -1137C Ver. 92453 n .ay. 01 5M 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)) 04/15/09 012818892 $32.13 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. WAR N ALLOWED 20 Reynolds Farm Equipment IN SUM OF P. O. Box 218 Fishers, IN 46038 $32.13 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 01 2818892 42- 370.00 $32.13 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 Wedn ay, it 22, 2009 A 13 Street Commissione Title Cost distribution ledger classification if claim paid motor vehicle highway fund