172015 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 00351632 Page 1 of 1
ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT
CHECK AMOUNT: $233.00
CARMEL, INDIANA 46032 990 5 WHITE AVE
SHERIDAN IN 46069 CHECK NUMBER: 172015
CHECK DATE: 4/2912009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A DESCRIPTION
2201 4237000 031895771 233.00 REPAIR PARTS
i
REMIT TO: Reynolds Farm Equipment P invoice
U R YNOIDS qM 990 S. White Ave.
Sheridan, IN 46069
317/758 -4116 800/333 -6947
www.reynoldsfarmequipment.com JOHN DEERE
0 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
O 12353 0
SALESMAN ORDER NO. RO.NO. PHONE INVOICE DATE TIME INVOICE NO.
31 01755053 317 416 -4154 15APR09 14:46 03 1895771
QUANTITIESR. PRICES
BIN
ORDERED; SHIPPED B/0 v PARTsNUMBER „a DESCRIPTION UST NET EXTENSION
MAKE: JD MODEL: SERNO: HRS:
1 N BW14378 HOOD GUARD 216.00 216.00 216.00
1 N SHIPPING HANDLING 17.00 17.00 17.00
STREET DEPT
q
7_
DESCRIPTION ACCOUNT AMOUNT
SHIP VIA
PARTSTAXABLE
Accounts Due on or Before 10th of Month Following Purchase. PARTS NONTAXBL 216.00
A FINANCE CHARGE with a periodic rate of "I per month, which is an ANNUAL RATE OF M I S C TAXABL
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 17 00
non taxable manner as specified in'the State Gross Retail Tax Act. SALES TAX
Signature PLEASE PAY THIS TOTAL 233 00
7
LF -t 1 37C Ver, s34 4i' 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))
04/15/09 031895771 $233.00
l
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. W ARRANT NO.
ALLOWED 20
Reynolds Farm Equipment /Sheridan
IN SUM OF
990 S. White Avenue
Sheridan, IN 46049
$233.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 03 1895771 42- 370.00 $233.00 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
VX/ dnesd y, Apr 2009
Street Commissioner G/
fi le 4mmi�,�ion�P
Cost distribution ledger classification if
claim paid motor vehicle highway fund