207595 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 00350251 Page 1 of 1
ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT
CARMEL, INDIANA 46032 PO BOX 218 CHECK AMOUNT: $160.34
FISHERS IN 46038
CHECK NUMBER: 207595
CHECK DATE: 3/26/2012
DEPARTMENT ACCOUNT PO NUMBER INV OICE NUMBER AMO DESCRIPTION
2201 4237000 P12632 160.34 REPAIR PARTS
Reynolds Farm Equipment 2220 East McGalliard Road 4815 North State Road 9 312 Bank Street 102 Deere Park Drive
Muncie, IN 47303 Anderson, IN 46012 Lodi, OH 44254 Mooresville, IN 46158
12501 Reynolds Drive P.O. Box 218 (765) 289 -1833 (765) 642 -2121 (330) 948 -9514 (317) 831 -1450
EYNULDS Fishers, IN 46038
(317) 849 0810 800 382 9038 990 South White Avenue 2155 Bellbrook Avenue 600 John C. Watts Drive 1501 Indianapolis Avenue
Sheridan, IN 46069 Xenia, OH 45385 Nicholasville, KY 40356 Lebanon, IN 46052
www.reynoldsfarmequipment.com (317) 758 -4116 (937) 372 -7746 (859) 885 -6600 (765) 482 -1711
SINCE 1955
Branch
Ship To: SAME AS BELOW
Date Time Page
10 1
Account No. Phone No. Invoice No.
CARME023 317 7332001 P12632
Ship Via Purchase Order
Invoice To: CITY OF CARMEL STREET DEP TRUCK 411
3400 W. 131ST ST.
*MAIL ORIGINAL INVOICE
CARMEL IN 46074 Salesperson
331
PARTS INVOICE.
ORDER 009804
Part# DESCRIPTION Bin ORD ISS SHP B/O UTT Price Amount
RE507646 FUEL LINE S05707 1 1 1 53.00 53.00
RE531436 NOZZLE S05707 1 1 1 90.00 90.00
CRRES31436 LESS CORE 5.00 5.00
R92352 PACKING S05707 1 1 1 1.44 1.44
FRT SHIPPING HNDL 1 1 1 12.00 12.00
CRRE531436 LESS CORE 1- 1- 1- 5.00 5.00CR
R51936 SEALING WASHER S05707 2 2 2 1.95 3.90
TOTAL CHARGE 160.34
TOTAL WEIGHT .93
Accounts Due on or Before 10th of Month Following Purchase. A FINANCE CHARGE with a periodic rate
of 1% per month, which is an ANNUAL RATE OF 12 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 X
non taxable manner as specified in the State Gross Retail Tax Act. Customer 'gnature
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))
03/22/12 P12632 $160.34
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. WARRANT NO.
ALLOWED 20
Reynolds Farm Equipment
IN SUM OF
P. O. Box 218
Fishers, IN 46038
$160.34
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. I ACCT /TITLE AMOUNT Board Members
2201 I P12632 I 42- 370.001 $160.34 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, March 22, 2012
Street Commi� sioner
Street Corn r 't411e
Cost distribution ledger classification if
claim paid motor vehicle highway fund