159992 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 354037 Page 1 of 1
ONE CIVIC SQUARE MOST DEPENDABLE FOUNTAINS INC
i¢ 0 CHECK AMOUNT: $436.00
CARMEL, 9NDIANA 46032 Po pox 5e7
M, Lo 5705 COMMANDER DR CHECK NUMBER: 159992
ARLINGTON TN 38002 -0587
CHECK DATE: 5/28/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
112 5 4237000. 11174 436.00 REPAIR PARTS
MUCE
NUMBER INV11174
MOST DEPENDABLE 5705 Commander Dr. Arlington, Tn 38002 -0587
FOUNTAINS, INC. (901) 867 -0039 (800) 552 -6331 Fax (901) 867 -4008 P.O. 18 52 9
BILLED SHIPPED DATE
TO: TO:
CARMEL CLAY PARKS REC CARMEL CLAY PARKS REC
ATTN: COURTNEY ATTN: COURTNEY
1427 EAST 116TH STREET 1427 EAST 116TH 'STREET
CARMEL IN 46032 CARMEL IN 46032
SHIP VIA UPS GROUND
CUSTOMER 317 571 -4144 Omer Date 5/1/2008
i DESCRIPTI
2 0 —RING VALUE O —RING 99 CONTROL VALVE W/ $58.00 $116.00
2 O —RING ASSEMP 0 —RING STEM ASSEMBLY FOR 0 $38.00 $76.00
2 CARTRIDGE CARTRIDGE #640128 AT 60 PS $46.00 $92.00
2 305B .KIT WHISTLE VALVE REPAIR KIT $21.00 $42.00
2 516 DRIVER 5/16 MAGNETIC HEX NUT DRIVE ;26.00 $52.00
4 STRAINER BOLT 3/8- 16X11/2 59 FLAT HEAD T $5.00 $20.00
1 #1.4 HOSE 3 /$X16" HOSE $12 -00 $12.00
1 #18 HOSE 1/2 "X18" HOSE $14.00 $14.00
r
MAY 0 200
BI,I.
1 .4AY 0 8 2008
TERMS: NET 30 DAYS SUB TOTAL $424-00
Please Pay from Invoice. No statement will be issued SHIP. HANDLING
FREIGHT F.O.B. FACTORY $12 .00
ONE YEAR WARRANTY. LABOR NOT INCLUDED TOTAL AMOUNT $436.00
REMIT TO: P.'O. BOX- 587 '5705 COMMANDER DR. ARLINGTON, TN 38002-0587
ORIGINAL WHITE OFFICE COPY YELLOW PACKING LIST PINK
ACCOUNTS PAYABLE VOUCHER
r 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.
Most Dependable Fountains, Inc. Terms
P.O. Box 587 Date Due
Arlington TN 38002 -0587
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
511108 INVi 1174 Repair Parts 436.00
Total 436.00
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
1 20
Clerk- Treasurer
voucher No. Warrant No.
\J a-d b r 354-037
Most Dependable Fountains, Inc. Allowed 20
P.O. Box 587
Arlington TN 38002 -0587
In Sum of
436.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept
1125 INV11174 4237000 436.00
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
23 -May 2007
5 at Yr
436.00 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund