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170082 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 00350251 Page 1 of 1 0 ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT CARMEL, INDIANA 46032 Po BOX Zia CHECK AMOUNT: $62.95 ti? fio r FISHERS IN 46038 CHECK NUMBER: 170082 CHECK DATE: 3/1812009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4237000 2813943 62.95 REPAIR PARTS REMIT TO: Reynolds Farm Equipment parts Invoice EYNOIDS rM% P, 0, Box 218 V Fishers, IN 46038 317/849 -0810 800/382 -9038 www.reynoldsfarmequipment.com JOHN DEERE S CARMEL CLAY PARKS REC PAGE H CARMEL CLAY PARKS REC L ATTN: ADM OFFICE 1 D 1411 E 116TH ST CASH CHG. OTHER P CARMEL IN 46032 US T ACCT. NO T 0 124163 SALESMAN ORDER NO. RO. NO. PHONE INVOICE DATE TIME INVOICE NO. 177 01740756 317 571 -4144 23FEB09 10:28 01 2813943 'QUANTITIES PRICES' ORDERED SHIPPED 1 .'B/O V PART NUMBER DESCRIPTION LIST NET EXTENSION MAKE: JD MODEL: SERNO: HRS: 1 N M806419 OIL FILTER V66H 7.25 6.38 6.38 1 N RE68048 AIR FILTER UPS2 24.75 21.78 21.78 1 N RE68049 AIR FILTER UPS2 19.75 17.38 17.38 1 N M811032 FILTER ELEM V13L 8.25 7.26 7.26 1 N AM107423 OIL FILTER V66I 6.99 6.15F 6.15 1 N AM116304 FUEL FILTER V20I 4.55 4.00F 4.00 Shop www.reynoldsfarmequipment.com or the argest selection and best prices on John D ere gif items!! 3 Purcha n Descri io P.O. P G.L. Budget FEB 4 2009 Line D cr Purchaser Date Approv Date y -0 �f BY: DESCRIPTION ACCOUNT AMOUNT SHIP VIA PARTS TAXABLE Accounts Due on or Before 10th of Month Following Purchase. PARTS NONTAXBL 62.95 A FINANCE CHARGE with a periodic rate of 1 Yx 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 i s 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 62 95 LF -1137C Ver. 924534 CUSTOMER COPY ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL Art invoice of 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. 19463 F 00350251 Reynolds Farm Equipment Terms P.o. Box 218 Fishers, IN 46038 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2123109 2813943 John Deere spare parts 62.95 Total 62.95 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. 00350251 Reynolds Farm Equipment Allowed 20 P.o. Box 218 Fishers, IN 46038 In Sum of 62.95 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 2813943 4237000 62.95 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 12 -Mar 2009 Signature 62.95 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund