226456 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 00350251 Page 1 of 1
ONE CIVIC SQUARE REYNOLDS FARM EQUIPMENT
CARMEL, INDIANA 46032 PO BOX 218 CHECK AMOUNT: $289.32
FISHERS IN 46038
CHECK NUMBER: 226456
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 P80982 289 . 32 REPAIR PARTS
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
SEYNOL02S Fishers, IN 46038
990 South White Avenue 2155 Bellbrook Avenue 600 John C.Watts Drive 1501 Indianapolis Avenue
Y."('317) 849-0810 • (800) 382-9038'-1-:r-',-..- 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: r3r s
SAME AS BELOW
Date Time / Page
11/07 > F' Sp• k
t
Account No. Phonie No. Invoice No.
CARME023 317 7332001 P80982
' Ship Via Purchase Order
Invoice To: CITY OF CARMEL STREET DEP SHOP
3400 W. 131ST ST. (}:
**MAIL ORIGINAL INVOICE**
CARMEL IN 46074 b Salesperson
t 037
PARTS INVOICE
ORDER#: 172670
Part# Description Bin ORD ISS SHP B/O UTT Price Amount
XlJS43-12-12 HOSE FITTING V101J 9 9 9 45. 92 413 .28
DISC DISCOUNTS 1- 1- 1- 123 . 96 123.96CR
TOTAL CHARGE 289.32
—TOTAL__WEIGHT=> _-. -5.85
.t I •
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. 616
AGRICULTURE SALES EXEMPTION - I hereby verify that the property described above is used in a
X4
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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/07/13 P80982 $289.32
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
$289.32
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 I P80982 I 42-370.001 $289.32 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
n- W
hursdPy/No er 14, 2013
tjova d2�a�
Street Commissio r
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Cost distribution ledger classification if
claim paid motor vehicle highway fund