159000 04/30/2008 a CITY OF CARMEL, INDIANA VENDOR: 354037 Page 1 of 1
j; ONE CIVIC SQUARE MOST DEPENDABLE FOUNTAINS INC CHECK AMOUNT: $149.00
CARMEL, INDIANA 46032 PO BOX 587
5705 COMMANDER DR CHECK NUMBER: 159000
ARLINGTON TN 38002 -0587
CHECK DATE: 4/30/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4237000 10749 149.00 REPAIR PARTS
�I
OMDF NUMBER INVIO749
MOST DEPENDABLE 5705 Commander Dr. Arlington, Tn 38002 -0587
F O U N TA 1 N S, INC. (901) 867 -0039 (800) 552 -6331 Fax (901) 867 -4008 P.O.
DATE C� Q V
I:�ILLED SHIPPED
TO: TO:
CARMEL CLAY PARKS REC CARMEL CLAY PARKS REC
1411 EAST 116TH STREET ATTN: COURTNEY
1427 EAST 116TH STREET
CARMEL CLAY IN 46032 CARMEL IN 45032
SHIP VIA UPS GROUND
CUSTOMER 317 571 -4144 Order Date 4/2/2008
72 NLF -9 r DRAIN GASKET DRAIN GASKET #3 /16TKX1 -7/1 $4.00 $16 -00
#14 HOSE 3/8X15" HOSE $12.00 $24.00
IN LINE VACCUM BREAKER $50 -00 $100.00
C EIVED
APR 4 2008
BY:
CRTvED
APR 9 2008
3
FUND
l4l
DEPT �1
LINE 000
DESC r
&GA
ERMS: NET 30 DAYS SUB TOTAL $140.00
Please Pay from Invoice. No statement will be issued SHIP. HANDLING
FREIGHT-F.O.B. FACTORY $9-00
ONE YEAR WARRANTY. LABOR NOT INCLUDED. TOTAL AMOUNT $149.00
REMIT P X 587 �5705 COMMANDER r s :00
ORIGINAL WHITE OFFICE COPY YELLOW PACKING LIST PINK
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.
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
412/08 INV10749 Repair Parts for Water Fountain 149.00
Total 149.00
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
Voucher No. Warrant No.
Most Dependable Fountains, Inc. Allowed 20
P.O. Box 587
Arlington TN 38002 -0587
In Sum of
149.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT#1TlTLE AMOUNT Board Members
Dept
1125 INV10749 4237000 149.00
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
St -a2 -o d�
-SKg n) ture
149.00 Business ervi s Manag
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund