HomeMy WebLinkAbout238657 10/28/14 �u•..4�gb
a`.! �• CITY OF CARMEL, INDIANA VENDOR: 354037
ONE CIVIC SQUARE MOST DEPENDABLE FOUNTAINS INC CHECK AMOUNT: $......*122.00*
CARMEL, INDIANA 46032 PO BOX 587 CHECK NUMBER: 238657
9i j�TUN- 5705 COMMANDER DR CHECK DATE: 10/28/14
ARLINGTON TN 38002-0587
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4237000 INV34862 122.00 REPAIR PARTS
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:M)F , .I N V 3 4 B 6 2
NUMBER INV34862
MOST DEPENDABLE 5705 Commander Dr.-Arlington,Tn 38002-0587
FOUNTAINS,INC, (901) 867-0039 (800)552-6331 Fax(901)867-4008 P.O.# `•{X-1160
DATE
BILLED -" SHIPPED
TCARMEL CLAY PARKS & REC I OCT - 3 2014 CARMEL CLAY PARKS & REC
1427 E_ 11GTH STREET :"r• 1427 E_ 116TH STREET
CARMEL IN 46032 - CARMEL IN 46032
SHIP VIA UPS GROUND
CUSTOMER ## - 317 -571-41.44_-_ . _ _ _ _ Ordde Date_-91.1812014- -
QUANTITY DESCRIPTION •
ORDERED
1 O-RING ASSEME 0-RING STEM ASSEMBLY FOR 0 $49,_00 $49.00
1 O-RING VALVE O-RING SS. VALVE BODY W/FI $61.00 $61.00
V
fey � f
DID
SUBTOTAL $110.00
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 $122.00
REMIT TO: P.O.BOX 587-5705 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,whereerformed, dates service rendered,:b
P Y
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
9/18/14 INV34862 Backup repair part for drinking fountains XX1160 $ 122.00
Total $ 122.00
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20_
Clerk-Treasurer
i
1
Voucher No. Warrant No.
354037 Most Dependable Fountains, Inc. Allowed 20
P.O. Box 587
Arlington, TN 38002-0587
In Sum of$
$ 122.00 i
ON ACCOUNT OF APPROPRIATION FOR I
101 General Fund
I
PO#'or INVOICE NO. ACCT#/TITLE AMOUNT I Board Members
Dept#
1125 INV34862 4237000 $ 122.00 i 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
1.
23-Oct 2014
I
Signature
$ 122.00 Accounts Payable Coordinator
Cost distribution ledger classification if I Title
claim paid motor vehicle highway fund