HomeMy WebLinkAbout234072 06/25/14 1+pr Cggbf
\ CITY OF CARMEL, INDIANA VENDOR: 354037
l ONE CIVIC SQUARE MOST DEPENDABLE FOUNTAINS INC CHECK AMOUNT: $********17.00*
r. ice; CARMEL, INDIANA 46032 PO BOX 587 CHECK NUMBER: 234072
5705 COMMANDER DR CHECK DATE: 06/25/14
ARLINGTON TN 38002-0587
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4237000 INV32972 17.00 REPAIR PARTS
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1 N V 3 2 9 7 2
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DEPNUMBER INV32972
MOST DEPENDABLE 5705 Commander Dr.-Arlington,Tn 38002-0587
M O T N EN I B E ,INC. (901)867-0039 (800)552-6331 •Fax(901)867-4008 P.O.#
DAWN
BILLED SHIPPED DATE 5_�"L
TO: TO:
CARMEL CLAY PARKS & REC CARMEL CLAY PARKS & REC
1411 EAST 116TH STREET 1427 EAST 116TH STREET
DAWN KOEPPER
CARMEL IN 46032 CARMEL IN 46032
SHIP VIA __,UPS GROUND - --
5 14 2014
QUANTIV?".
ORDERED DESCRIPTION I DISC06UINT
1 62251 1/4" SS 304 TEE $5.00 $5.00
XX 5 901 �.
SUB TOTAL
$5.00
Please Pay from Invoice. No statement will be issued. SHIPPING
FREIGHT F.O.B. FACTORY $12.00
ONE YEAR WARRANTY. LABOR NOT INCLUDED. TOTAL AMOUNT
REMITTO: RO.BOX587-.5705 COMMANDER DR.-ARLINGTON,TN 38002-0587
ORIGINAL-WHITE OFFICE COPY-YELLOW PACKING LIST-PINK TEMPLATE-GOLD
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
354037 Most Dependable Fountains, Inc. Terms
P.O. Box 587
Arlington, TN 38002-0587
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
5/14/14 INV32972 Water fountain repair part Lenape Trace xx592 $ 17.00
Total—r—$ -- 17.00
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with I C 5-11-10-1.6
,20
Clerk-Treasurer
i
Voucher No. Warrant No.
354037 Most Dependable Fountains, Inc. Allowed 20
P.O. Box 587
Arlington,TN 38002-0587
In Sum of$
I -
$ 17.00
1
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
i
1
PO#or INVOICE NO. CCT#/TITL AMOUNT Board Members
Dept#
1125 INV32972 .4237000 $ 17.00 I hereby certify that the attached invoice(s), or
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
I, which charge is made were ordered and
received except
19-Jun 2014
Signature
$ 17.00 Accounts Payabie Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund