HomeMy WebLinkAbout240063 12/09/14 +pr,C4q�
��� CITY OF CARMEL, INDIANA VENDOR: 00351019
® �; ONE CIVIC SQUARE MOFAB INC. CHECK AMOUNT: $*****1,122.72*
s9 ?� CARMEL, INDIANA 46032 1415 FAIRVIEW STREET CHECK NUMBER: 240063
M,�roN�O ANDERSON IN 46016-3524 CHECK DATE: 12/09/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 250760 1,122.72 OTHER EXPENSES
1415 FAIRVIEW ST.,
ANDERSON;IN 46016-3524
PH ON E(7.65)649-5577
QUALITY SINCE 1958 FAX:(765)641-1555
INVOICE
�STEELH "
CUT PRIME RED PLASMA JD�tEtp S BEND WELD r
PRIME GREY CUTTING � (-'�
o "-drli O'l-,'��-' /?
L -344
T41 T
/� ) �r 1 /
CUSTOMER O DE9 N0. O DfiRED BY SOLd BY'� / SHIP VIA ORDER D TE INVOICE DATE
I ` CASH / CHRG / i / /L
OTY. B.O. it�j(11/1 DESCRIPTION UNIT PRICE AMOUNT
i
_
2
7
i
tr� Zr- �
TERMS: 15%RESTOCKING CHARGE ON RETURNED MATERIALS. TAX
NO BACK CHARGES WILL BE ACCEPTED WITHOUT PRIOR APPROVAL.
1%%PER MONTH OR 18%ANNUAL SERVICE CHARGE FOR ALL INVOICES OVER 30 DAYS. , 1 TOTAL _
MOFAB,INC.IS NOT AN ENGINEERING FIRM AND ANY TECHNICAL ADVICE WE FURNISH WITH RESPECT TO THE USE OF MATERIAL
IS GIVEN WITHOUT CHARGE,AND WE SHALL HAVE NO OBLIGATION OR LIABILITY FOR THE DVICE GIVEN OR THE RESULTS
OBTAINED,ALL SUCH ADVICE BEING GIVEN AND ACCEPTED AT BUYER'S RISK
THANK YOU FOR THIS ORDER.WE LOOK FORWARD TO SERVING YOU AGAIN
RECEIVED THE`ABOVEIIJG,OD CONDITION
X ' iro -f�- % =''r DATE
PACKING SLIP _
VOUCHER # 146094 WARRANT# ALLOWED
351019 IN SUM OF $
MOFAB INC.
1415 FAIRVIEW STREET
ANDERSON, IN 46016-3524 °
Carmel Wastewater Utility r
ON ACCOUNT OF APPROPRIATION FOR
'I
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
I
250760 01-7202-06 $1,122.72
1
I
i
r
i
I�
1
i
Voucher Totair $1,122.72
Cost distribution ledger classification if
claim paid under vehicle highway fund
� I
I ,
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
I
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
" price per unit, etc.
I
Payee
351019
MOFAB INC. Purchase Order No.
1415 FAIRVIEW STREET Terms
j ANDERSON, IN 46016-3524 Due Date 12/3/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/3/2014 250760 $1,122.72
i
f
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
Date Officer