215161 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 00350251 Page 1 of 1
` ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT CHECK AMOUNT: $131.92
CARMEL, INDIANA 46032 Po Box 218
FISHERS IN 46038 CHECK NUMBER: 215161
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4463500 W03433 131 . 92 GROUNDS MAINT EQUIPME
` Reynolds Farm Equipment 2220 East McGalliard Road 4815 North State Road 9 312 Bank Street 102 Deere Park Drive
h 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
-'' EYNOLDS
Fishers, IN 46038
(317) 849-0810 • (800) 382-9038 990`.youth White Avenue 2155 Bellbrook Avenue 600 John C.Watts Drive 1501 Indianapolis Avenue
Shendan,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
tz -Ship To:
SAME AS BELOW ^ 5 I
4 ". (9 Date Time Page
11116ZI2 _ 15 :1 1
Account No. Phone No. Invoice No.
CARME022 317 4164154 W03433
' Ship Via Purchase Order
's Invoice To: CITY OF CARMEL
ATTN: J. BARNES
`. ONE CIVIC SQUARE 0031201550
Pty. CARMEL IN 46032 Salesperson
325
r. SERVICE INVOICE
�'. STK#/FLEET# HRS PIN/EIN WARRANTY DATE HRS
0001321B JD 522E SINGLE STA X LMOS22EO01321 04/05/09
!t
522E
REPAIR# 1 C 21166 N/A 11/14/12 11/14/12 11/16/12
it? CARBURETOR
i ' Removed carburetor.
Installed new carburetor.
?° Installed fresh fuel with stabilizer.
Test ran unit.
***** Thank you *****
316991.03 CARBURETOR 1 N 55.45 55 .45
"V FRT SHIPPING & HNDL 1 11.50 11 .50
:ry PARTS 66 .95
` LABOR 60 .00
10400001 REPAIR TOTAL==> 126 .95
**** WORK ORDER TOTALS ****
PARTS 66 .95
tai
LABOR 60 .00
ENVIRONMENT-CP 4 .97 —
�t:-- - - - -- 10TAL •`1-ltlRGB 131.92
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t' DEC 3 2012
By
4.'.
i
1:
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t�'i• Accounts Due on or Before 10th of Month Following Purchase.A FINANCE CHARGE with a periodic rate
w•= 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 useri n a X _
non-taxable manner as specified in the State Gross Retail Tax Act. Customer signature
;5
VOUCHER NO. WARRANT NO.
ALLOWED 20
Reynolds Farrm Equipment
IN SUM OF $
990 S. White Ave
Sheridan, IN 46069
$131.92
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
(�3 5 1 hereby certify that the attached invoice(s), or
1205 W03433 43-_ $131.92
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
Monday, December 03, 2012
Director, A ministration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
11/16/12 W03433 $131.92
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