225470 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 354037 Page 1 of 1
0 ONE CIVIC SQUARE MOST DEPENDABLE FOUNTAINS INC CHECK AMOUNT: $167.00
CARMEL, INDIANA 46032 PO BOX 587
5705 COMMANDER DR CHECK NUMBER: 225470
ARLINGTON TN 38002-0587
CHECK DATE: 1012312013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 INV30814 167 . 00 BUILDING REPAIRS & MA
MUCE F/J� ��II I I fll 111111111111111��11111 I�I'
Emil
I NV3 (3814
NUMBER INV30814
MOST DEPEIN®ABLE 5705 Commander Dr.-Arlington,Tn 38002-0587
®� ��f $,INC. (901) 867-0039x(800)552-6331 •Fax(901) 867-4008 P.O.# MC044 621
DATE
BILLED '�,_;� _/ ,.,,, SHIPPED
CARMEL CLAY PARKS & REC SEP 3,`0 Z013 CARMEL CLAY PARKS & REC
1411 EAST 116TH STREET _BY: ATTN:MIKE KILPATRICK
1235 CENTRAL PARK DRIVE EAST
CARMEL CLAY IN 46032 CARMEL IN 46032
SHIP VIA UPS GROUND _ - -_-
CUSTOMER # 317 -571-4144 Order Date 9/24/2013
e-o �
4 305B KIT WHISTLE VALVE REPAIR KIT $27.00 $108.00
1 516 DRIVER 5/16 MAGNETIC HEX NUT DRIV $32-00 $32.00
1 T27B T27 TORX BIT (ONLY) WHOLE $5.00 $5.00
1 T45B T45 TORX BIT (ONLY) W/HOLE $5.00 $5.00
1 T55B T55 TORX BIT (ONLY) W/HOLE $5.00 $5.00
I�epac�s fo Oc�cfoov ��. wens
M C.oO4b7(
{ 0 soIoc
(J l
SUBTOTAL $155.00
PleMasePa; "=r-or orm+ E J-Iinv o1 ic`M e No l stR,a, teIlma .e n w.l bei'ssue
� SHIPPING
$12.00
Yy < FREIGHT F.O.B. FACTORY Z,
"✓-' 'ONE YEAR WARRANTY. LABOR NOT INCLUDED. TOTAL AMOUNT $167.00
ORIGINAL WHITE ,:,YOFFICE COPYs YELLOW PACKING LIST-PINK
AV Wkll TOOT A
Nil I!" '0111,111H Ml Ell € NN
.,}L P .7_^, 2;�]JUVII T pica^` :':h.Z,4A7- J _�h.�"� .4 ;.%.I"..b .An_` l�.t�ax J
FlD111Y'At t—R ^2iii..�;11Ttm ;•rt:Jrrt.• ?r T" i E'`-t; �'
may... z, 1 e,. :}1,w:aa ., 55.. . 1 S .� iu ll�.L
`y�.;j�ti) 1!. ,_!�l)b."YtFdA_t �`t,r.,�y i=li Ri-#':sT.a s.i��.k•'�TI.'`tUr
00 101 fit'- l°!.i_;f TIN .;?tiSr.`A "'tfjA4t UAW TZX SKE 1^
M:. ao t e-' XV rO rtUq :"Z 5 :€13.'31 DIE
E
Rift);'\W t�r:.l� .'` r4',...L :'..'Y1.1t7'• 'k"S Tt t;^ST +
�.
LM. 4 00. _ ,1J L s i\J? T.L t:: 2 Wd [..i 4.t _
3Lj CllH''.It'd (1',1 AC 1] T.}_a 0 T 23T 22 r_T J.
c ,
00. =l4
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
9/24/13 INV30814 Repairs to Outdoor showers $ 167.00
Total $ 167.00
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$
$ 167.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or Board Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
1093 INV30814 4350100 $ 167.00 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
F
17-Oct 2013
IoAdl&wao
Signature
$ 167.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund