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168171 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 00351632 Page 1 of 1 f ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT CHECK AMOUNT: $42.27 CARMEL, INDIANA 46032 990 S WHITE AVE o SHERIDAN IN 46069 CHECK NUMBER: 168171 CHECK DATE: 1/21/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 03 1893642 42.27 REPAIR PARTS c� REMIT TO: Reynolds Farm Equipment Parts Invoice GR21111 990 S. White Ave. Sheridan, IN 46069 317/758 -4116 •800/333 -6947 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. OTHER P WESTFIELD IN 46072 US T ACCT. NO T 0 O 11340 SALESMAN ORDER NO. R0. NO. PHONE INVOICE DATE TIME INVOICE NO. 57 01733628 317 733 -2001 30DEC08 13:45 03 1893642 QUANTITIES' PRICES p, BIN g y ORDERED ,SHIPPED B /0�� -=v y P,ARTsNUMBER-, DESCRIPTION LIST, NET W EXTENSION.; MAKE: JD MODEL: SERNO: HRS: 3 N TY24810 ANTI -SEIZE DISP 14.09 14.09 42.27 I Above part returnable at dlr discre ion I I DESCRIPTION ACCOUNT AMOUNT SHIP VIA PARTS T A X A B LE Accounts Due on or Before 10th of Month Following Purchase. PARTS NONTAXBL 42.27 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 N O N T A X A B L E non taxable manner as specified in the State Gross Retail Tax Act. SALES TAX 5gnauwe PLEASE PAY THIS TOTAL 42 27 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)) 12/30/08 031893642 $42.27 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 $42.27 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 03 1893642 42- 370.00 $42.27 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 Saturc ayI Jlapa�p 17, 2005 Y ,Js t Street Commissionp rr Fr Tide Cost distribution ledger classification if claim paid motor vehicle highway fund