178363 10/14/2009 VENDOR: 00350251 Pa e 1 of 1
CITY OF CARMEL, INDIANA g
ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT
CHECK AMOUNT: $164.03
s,�ro CARMEL, INDIANA 46032 PO BOX 218
FISHERS IN 46038 CHECK NUMBER: 178363
CHECK DATE: 10/1412009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 012841152 96.60 REPAIR PARTS
2201 4237000 012841848. 67.43 REPAIR PARTS
REMIT TO: Reynolds Farm Equipment Parts Invoice
EYNDIDS P. O. Box 218
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 I
D 3400 W. 131ST ST. cases CHG. OTHER P
WESTFIELD IN 46072 US
T ACCT. NO T
11340
SALESMAN ORDER NO. RO. NO. PHONE INVOICE DATE TIME INVOICE NO.
101 101814482 317 733 -2001 23SEP09 09:48 01 2841152
QUG�NITIES y' PRICES
AV
ORDERED SHIP,PED,r, ®10.r PARTNUMBER ,,,,o
r. ?ESCRIPTION a.. A t f ,LIST NET. EX•T. ENSIOPI..
MAKE: JD MODEL: SERNO: HRS:
12 N 141-11058 NUT V206E 1.94 1.94 23.28
12 N T146934 BOLT V206G 6.11 6.11 73.32
sf
DESCRIPTION ACCOUNT AMOUNT
SHIP VIA
PARTSTAXABLE
Accounts Due on or Before 10th of Month Following Purchase. PARTS NONTAXBL 96.60
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 i n a M I S C N O N T A X A B L I
non taxable manner as specified in the State Gross Retail Tax Act. SALES TAX
Signature
PLEASE PAY THIS TOTAL 9 6 6 0
LF -1137C Ver. 924534 CUSTOMER COPY
REMIT TO: Reynolds Farm Equipment Parts In voice
6R EYNOLOS P. O. Box 218 t I I I Fishers, IN 46038
317/849 -0810 800/382 -9038
vww.reynoldsfarmequioment.com JOHN DEERE
0 CITY OF CARMEL STREET D ?AGE H CITY OF CARMEL STREET D
L *MAIL ORIGINAL INVOICE 1 I
D 3400 W. 131ST ST. CASH �HG. OTHER P
WESTFIELD IN 46072 US
T ACCT. NO T
O 11340
SALESMAN ORDER NO. RO. NO. PHONE INVOICE DATE TIME INVOICE NO.
101 01816721 317 733 -2001 30SE P09 14:14 01 2841848
QUANT.ITIES�i PRICES
'fy 4H` fb W a uFS....
ORDEREDiiir i SHIP „PED..„ BIO �4- ��P.ART�NUMBER<,..�,a.�.� .aDESCRIPTION ,�,,,.....9.u� LIST NEB T
EXTENSION
MAKE: MODEL: SERNO: HRS:
1 N X2207 -12 -12 ELBOW FITTI V103D 24.97 17.481 17.48
2 N X10143 -12 -12 HOSE FITTIN V101K 11.42 7.99f 15.99
63 N X302 -12 -RL BULK HOSE BENCH .86 .54 33.96
z z "tits, €'r
DESCRIPTION ACCOUNT AMOUNT
SHIP VIA
PARTSTAXABLE
Accounts Due on or B fore 10th of Month Fallowing Purchase. PARTS NONTAXBL 67.43
A FINANCE CHARGE with a pe odic rate of 1 per month, which is an ANNUAL RATE OF M I S C TAXABLE
18 may be applied to the pre ous balance after it becomes more than 30 days past due.
AGRICULTURE SALES EXEMPTI -I hereby verify at the prope described above is used in a M I S C N O N T A X A B L
non- taxable manner as spe d i the State Gross it Tax Act SALES TAX
signature PLEASE PAY THIS TOTAL 67.43
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))
09/23/09 012841152 $96.60
09/30/09 012841848 $67.43
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. W NO.
ALLOWED 20
Reynolds Farm Equipment
IN SUM OF
P. O. Box 218
Fishers, IN 46038
$164.03
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board MemberE
2201 01 2841152 42- 370.00 $96.60 1 hereby certify that the attached invoice(s), or
2201 01 2841848 42- 370.00 $67.43 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
Friday, O &Jer 09, 2009
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund