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222136 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 00350251 Page 1 of 1 ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT CARMEL, INDIANA 46032 PO BOX 218 CHECK AMOUNT: $164.41 FISHERS IN 46038 CHECK NUMBER: 222136 CHECK DATE: 7/1712013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350000 P45989 69 . 67 EQUIPMENT REPAIRS & M 1207 4350000 P46751 94 . 74 EQUIPMENT REPAIRS & M Reynolds Farm Equipment 2220 East McGalliard Road 4815 North State Road 9 102 Deere Park Drive Muncie,IN 47303 Anderson,IN 46012 Mooresville,IN 46158 12501 Reynolds Drive • P.O. Box 218 (765)289-1833 (765)642-2121 (317)831-1450 EYNOLDS Fishers, IN 46038 990 South White Avenue 2155 Bellbrook Avenue 600 John C.Watts Drive 1501 Indianapolis Avenue (317) 849-0810 • (800) 382-9038 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 Ship To: SAME AS BELOW FISHERS Date Time Page 2 4 Account No. Phone No. Invoice No. CARME025 317 8467431 P46751 Ship Via Purchase Order Invoice To: CITY OF CARMEL/BROOKSHIRE **MAIL INV-BOB HIGGINS*** 12120 BROOKSHIRE PKWY 0031201550 CARMEL IN 46032 Salesperson 170 PARTS INVOICE ORDER#: 140096 Part# Description Bin ORD ISS SHP B/O UTT Price Amount M129989 WHEEL TIRE02 1 1 1 94 .74 94 . 74 TOTAL CHARGE 94 .74 TOTAL WEIGHT=> 15.42 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 xi, non-taxable manner as specified in the State Gross Retail Tax Act. us ) t Reynolds Farm Equipment 2220 East McGalliard Road 4815 North State Road 9 102 Deere Park Drive Muncie, W 47303 Anderson,IN 46012 Mooresville,IN 46158 12501 Reynolds Drive • P.O. Box 218 (765)289-1833 (765)642-2121 (317)831-1450 UR�N�LDS Fishers, IN 46038 990 South White Avenue 2155 Bellbrook Avenue 600 John C.Watts Drive 1501 Indianapolis Avenue (317) 849-0810 • (800) 382-9038 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 Ship To: SAME AS BELOW FISHERS CITIJNVVV Date Time Page 7 • 1 Account No. Phone No. Invoice No. CARME025 317 8467431 P45989 Ship Via Purchase Order Invoice To: CITY OF CARMEL/BROOKSHIRE **MAIL INV-BOB HIGGINS*** 12120 BROOKSHIRE PKWY 0031201550 CARMEL IN 46032 Salesperson 134 PARTS INVOICE ORDER#: 138921 Part# Description Bin ORD ISS SHP B/O UTT Price Amount XlJS43-10-8 HOSE FITTING V101H 1 1 1 21.67 21.67 X1J143-10-8 ELBOW FITTING V101H 1 1 1 36.72 36 .72 X302-8-RL BULK HOSE BENCH 24 24 24 .47 11.28 TOTAL CHARGE 69.67 TOTAL WEIGHT=> 11.61 J 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 oe more than 30 days past due. bz� '- AGRICULTURE SALES EXEMPTION - I hereby venfy that the property described above is used in a X non-taxable manner as specified in the State Gross Retail Tax Act. Customer signature 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. I Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 07/05/13 P45989 Repair Parts $69.67 07/09/13 P46751 Repair Parts $94.74 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 IN SUM OF $ P.O. Box 218 Fishers, IN 46038 $164.41 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1207 P45989 43-500.00 $69.67 I hereby certify that the attached invoice(s), or 1207 P46751 43-500.00 $94.74 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 Wednesday, July 10, 2013 Director, Brooksh r Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund