244750 04/29/15 CITY OF CARMEL, INDIANA VENDOR: 354037
.js ® • ONE CIVIC SQUARE MOST DEPENDABLE FOUNTAINS INC CHECK AMOUNT: $""*'*457.00'
?q CARMEL, INDIANA 46032 PO BOX 587 CHECK NUMBER: 244750
5705 COMMANDER OR CHECK DATE: 04/29/15
ARLINGTON TN 38002-0587
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350000 INV36648 457.00 EQUIPMENT REPAIRS & M
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APR 14 2015
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NUMBER INV36648
Masi ®EPER!®ABLE 5705 Comman�er[5_r •Arlington,Tn 38002-0587
®Q�l �� Irig ,INC. (901)867-0039 (800)552-6331 •Fax(901)867-4008 P # 38349
BILLED SHIPPED DATE
TO: TO:
CARMEL CLAY PARKS & REC CARMEL CLAY PARK'S & REC
ATTN:MIKE KILPATRICK ATTN:MIKE KILPATRICK
1235 CENTRAL PARD DRIVE EAST 1235 CENTRAL PARK DRIVE EAST
CARMEL IN 46032 CARMEL IN 46032
SHIP VIA UPS GROUND _ -
CUSTOMER # 317 —571-4144 Order Date 4/14/2015
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2 SHOWER HEAD SHOWER HEAD (32* ANGLE) $72.00 $144.00
2 #16 HOSE 3f 8"X10" $18.00 $36.00
3 #3 HOSE 3/8"X21" HOSE $22.00 $66.00
2 #31 HOSE 3/8"X24" HOSE $22.00 $44.00
2 #43 HOSE 3/8"X40"HOSE $22.00 $44.00
SUB TOTAL $442-00
Please Pay from Invoice. No statement will be issued. SHIPPING $15.00
FREIGHT F.O.B. FACTORY
ONE YEAR WARRANTY.LABOR NOT INCLUDED. TOTAL AMOUNT $457-00
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
4/14/15 INV36648 Waterpark outside shower,parts 38349 $ 457.00
Total,, $ 457.00
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
i
Voucher No. Warrant No.
354037 Most Dependable Fountains, Inc. I' Allowed 20
P.O. Box 587
Arlington, TN 38002-0587
1 In Sum of$
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$ 457.00 f
ON ACCOUNT OF APPROPRIATION FOR
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109 Monon Center
PO#orINVOICE NO. CCT#/TITL AMOUNT )' Board Members
Dept# I
1093 INV36648 4350000 $ 457.00 . 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
f received,except
i.
1.
April 23,2015
'Pi
Signature
$ 457.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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