HomeMy WebLinkAbout245206 05/13/15 CSA ,
CITY OF CARMEL, INDIANA VENDOR: 354037
ONE CIVIC SQUARE MOST DEPENDABLE FOUNTAINS INC CHECK AMOUNT: $********83.00*
CARMEL, INDIANA 46032 PO BOX 587 CHECK NUMBER: 245206
vM; 5705 COMMANDER OR CHECK DATE: 05/13/15
ARLINGTON TN 38002-0587
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350000 INV36896 83.00 EQUIPMENT REPAIRS & M
° UCE Illll111llillllllllillflllll111lli
I . NV36696
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NUM V896
MOST DEPENDABLE 5705 Commander Dr.-Arlington,Tn 38002-0587
(90'1)867-0039•(800)552-6331 -Fax(901)867-4008 P.O. 19FOUNTA1NS,INC. XX-2 0
DATE
BILLED SHIPPED
TO: EMAY
TO:
CARMEL CLAY PARKS & RECCARMEL CLAY PARKS & REC
1411 EAST 116TH STREET ��� ATTN:MIKE KILPATRICK
1235 CENTRAL PARK DRIVE EAST
CARMEL CLAY IN 46032CARMEL CLAY IN 46032
_-._SHIP_ VIA_ - _ -UPS- GROUND_ --- -- -- - --
CUSTOMER # 317 -571-4144 Order Date 4/27/2015
QUANTITY DESCRIPTION
•
ORDERED
1 305B-2-3 #305B-2211-3 whistle valve $69.00 $69.00
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SUB TOTAL $69.00
Please Pay from Invoice. No statement will be issued. SHIPPING
FREIGHT F.O.B. FACTORY $14.00
ONE YEAR WARRANTY. LABOR NOT INCLUDED. TOTAL AMOUNT $83.00
REMIT TO: RO.BOX 587-5705 COMMANDER DR.-ARLINGTON,TN 38002-0587
ORIGINAL-WHITE OFFICE COPY-YELLOW PACKING LIST-PINK TEMPLATE-GOLD
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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
4/27/15 INV36896 Waterpark shower repair xx2019 $ 83.00
Total is 83.00
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
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Voucher No. Warrant No.
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354037 Most Dependable Fountains, Inc. Allowed 20
P.O. Box 587
Arlington, TN 38002-0587
In Sum of$
$ 83.00
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ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#orBoard Members
INVOICE NO. CCT#/TITL AMOUNT j
Dept#
1093 INV36896 4350000 $ 83.00 I,hereby certify that the attached invoice(s), or
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ill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
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May 7, 2015
Signature
$ 83.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund