HomeMy WebLinkAbout325817 05/30/18 CITY OF CARMEL, INDIANA VENDOR: 354037
® yi! ONE CIVIC SQUARE MOST DEPENDABLE FOUNTAINS INC CHECK AMOUNT: $......*384.00*
q; CARMEL, INDIANA 46032 PO BOX 587 CHECK NUMBER: 325817
5705 COMMANDER DR CHECK DATE: 05/30/18
ARLINGTON TN 38002-0587
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4237000 INV51063 384.00 REPAIR PARTS
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 354037 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Most Dependable Fountains, Inc. Payee
PO Box 587
5705 Commander Dr In Sum of$ Purchase Order#
Arlington, TN 38002-0587 354037 Most Dependable Fountains, Inc. Terms
$ 384.00 PO Box 587 Date Due
5705 Commander Dr
ON ACCOUNT OF APPROPRIATION FOR Arlington, TN 38002-0587
109-Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Invoice Description
Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1093 INV51063 4237000 $ 384.00 Board Members 5/14/18 INV51063 Bottled Water Filter for Waterpark 51332 $ 384.00
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
which charge is made were ordered and
received except
$ 384.00 Total $ 384.00
May 21,2018
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
Cost distribution ledger classification if IPAMA"Wu—
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
INVOICE
M)F �Nuy L-
5705 Commander Dr.Arlington,TN 38002-0587 P.O. # 51332
(901)867-0039 (800)552-6331 Fax(901)867-4008
; _C)�IIOS 0 E BLE DAT E—Y—
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BILLED SHIPPED
TO: RFCFT'%FZD TO:
CARMEL CLAY PARKS & REC CARMEL CLAY PARKS & REC
1411 EAST 116TH STREET MAY 1 7 2018 ATTN:JIM
1235 CENTRAL PARK DRIVE EAST
CARMEL CLAY IN 46032 Lff:.............................. CARMEL CLAY IN 46032
SHIP VIA UPS GROUND
CUSTOMER# 317 -571-4144 Order Date 5/1412018
2 305B-2-3 #305B-2211-3 whistle valve $69. 00 $138 .00
4 305B KIT WHISTLE VALVE REPAIR KIT $27 . 00 $108 . 00
1 NSA REPLACE NSA FILTER REPLACEMENT $125. 00 $125. 00
$371.00
Please Pay from Invoice. No statement will be issued. SUB TOTAL
FREIGHT F.O.B. FACTORY SHIPPING $13.00
ONE YEAR WARRANTY. LABOR NOT INCLUDED iTOTAL AMOUNT $384 0
(U.S Dollars)