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207548 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 354037 Page 1 of 1 ONE CIVIC SQUARE MOST DEPENDABLE FOUNTAINS INC CARMEL, INDIANA 46032 PO BOX 587 CHECK AMOUNT: $451.00 5705 COMMANDER DR o CHECK NUMBER: 207548 ARLINGTON TN 38002 -0587 CHECK DATE: 3/26/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4237000 30566 INV24668 451.00 SPARE PARTS INVU E om:F NUMBER INV24668 MOST DEPENDABLE 5705 Commander Dr. -Arlington, Tn 38002 -0587 FOUNTAINS INC. (901) 867 -0039 (800) 552 -6331 Fax (901) 867 -4008 P O 30566 I BILLED SHIPPED DATE 12 TO: TO: CARMEL CLAY PARKS REC r15 CARMEL CLAY PARKS REC 1411 EAST 116TH STREET MAR 1 2012 MAINTENANCE 1427 EAST 116TH STREET CARMEL CLAY IN 46032 CARMEL IN 46032 BY: SHIP VIA UPS GROUND "CUSTOMER 317 =571 -4144 Order Date 3/15/2012 DESCRIPTI DISCO 3 0 -RING VALVE 0 -RING SS VALVE BODY W /FI $61.00 $183.00 3 0 -RING ASSEMg 0 -RING STEM ASSEMBLY FOR 0 $41.00 $123.00 2 305E -2 -3 1/4" WHISTLE VALVE FOR JUG $52.00 $104.00 1 516 DRIVER 5/16 MAGNETIC HEX NUT DRIVE $28.00 $28.00 Purchase Description c P R E F fOR FC)un '►.i P.O. '�b (olp P o© CT of G.L. i 125'4 -D1- 4_. 37b0P Budget �L I R�ZTS Line Descr Purchaser Date Approval Date TERMS: NET 30 DAYS SUB TOTAL $438.00 Please Pay from Invoice. No statement will be issued SHIP. HANDLING FREIGHT F.O.B. FACTORY $13.00 ONE YEAR WARRANTY. LABOR NOT INCLUDED. TOTAL AMOUNT $451.00 REMIT TO: PO. BOX 587-5705 COMMANDER DR. -ARLINGTON, TN 38002-0587 ORIGINAL WHITE OFFICE COPY YELLOW PACKING LIST PINK S V, 2" P.Aq YIILI',,) r D OHS* YALE JSI�-MLm TKAT2 HTO'll 11 2A2 f1bi lip YAJD JTFIAA-n 2 AIV SIP12 0 0 ll:� TIV N Y909 MIjAIV K ;DRl;i- 3VjA'V Q711A-ID Z -0 ICD3 YdSMR22A N2TS- Q14 2143�2?A AKA -o c Qu�l >102 MAV C-S-Saoc S. 00 ssr:Y Oil ss EVIPO TUN DT T 2 144MIl a I 00 i2pt 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 3/15/12 INV24668 Spare parts for fountain 30566 451.00 Total 451.00 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 Voucher No. Warrant No. 354037 Most Dependable Fountains, Inc. Allowed 20 P.O. Box 587 Arlington, TN 38002 -0587 In Sum of 451.00 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members Dept 30566 F INV24668 4237000 451.00 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 received except 22 -Mar 2012 T Signature 451.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund