171057 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 00351632 Page 1 of 1
ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT CHECK AMOUNT: $1,401.06
rQ CARMEL, INDIANA 46032 990 S WHITE AVE
SHERIDANIN 46069 CHECK NUMBER: 171057
CHECK DATE: 4/16/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 03 1895198 1,401.06 REPAIR PARTS
REMITTO: Reynolds Farm Equipment parts Invoice
�pq 6 EYNOLDS I I 990 S. White Ave.
Sheridan, IN 46069
317/758 -4116 •800/333 -6947
www.reynoldsfarmequipment.com JOHN DEERE
SO CITY OF CARMEL STREET D PAGE H CITY OF CARMEL STREET D
L *MAIL ORIGINAL INVOICE 1 1
0 3400 W. 131ST ST. cases CHG. OTHER P
WESTFIELD IN 46072 US
T ACCT. NO T
11340 O
SALESMAN ORDERNO. RO.NO. PHONE INVOICE DATE TIME INVOICE NO.
31 01747522 317 733 -2001 30MAR09 09:30 03 1895198
ORDERED
SHIPPED -Y PARTnNUMBER' DESCRIPTION a;�s,t. LIST: NET EXTENSION.
MAKE: JD MODEL: SERNO: HRS:
1 N AM123163 CATCH OY 18.99 18.99 18.99
1 N LVU12063 HOOD XY WH29A 305.00 305.00 305.00
1 N LVU12349 COWL XY 110.00 110.00 110.00
1 N LVU10567 COWL OY 87.00 87.00 87.00
1 N LVU10896 PANEL OY 210.00 210.00 210.00
10 N M91389 HANDLE V16F .53 .53 5.30
10 N M91390 CLIP V16F .24 .24 2.40
10 N M91391 SPRING OY .51 .51 5.10
3 N 19M7863 SCREW HW2C2 .61 .61 1.83
3 N M84972 NUT V16D 1.05 1.05 3.15
1 N LVU13713 SEAL XY 8.33 8.33 8.33
1 N M135384 LABEL OY 4.72 4.72 4.72
1 N M135385 zXF B'EL OY 4.11 4.11 4.11
1 N LVA10560 z INSTRUMENT OY 370.00 370.00 370.00
SAS v>
1 N LVA10863 DOOR V3M 40.84 40.84 40.84
CL =IP XY 3.17 3.17 3.17
1 N M134470
ive v 11L
1 N LVU11500-� s -pR +NG V3C 4. 50 4. 50 4. 50
1 N LVU10463 PAD OY 23.25 23.25 23.25
1 N LVA13091 ISOLATOR OY 110.00 110.00 110.00
1 N LVU10464 SEAL XY 19.99 19.99 19.99
1 N LVU10458 PAD XY 13.50 13.50 13.50
2 N LVU10461 PAD XY 18.25 18.25 36.50
2 N 60UA -08X08 ADAPTER BENCH2 6.69 6.69 13.38
DESCRIPTION ACCOUNT AMOUNT
SHIP VIA
PARTSTAXABLE
Accounts Due on or Before 10th of Month Following Purchase. PARTS NONTAXBL 1401.06
A FINANCE CHARGE with a periodic rate of 1 per month, which is an ANNUAL RATE OF M I 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 1401 06
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))
03/30/09 031895198 $1,401.06
6
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. WARRANT NO.
ALLOWED 20
Reynolds Farm Equipment /Sheridan
IN SUM OF
990 S. White Avenue
Sheridan, IN 46049
$1,401.06
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# /Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 03 1895198 42- 370.00 $1,401.06 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
�Thursday,/Apri 2009
Street Commissioner
StrErR�, Commissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund