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241791 02/03/2015 +w 4�qy X12 ,� CITY OF CARMEL, INDIANA VENDOR: 00351019 F� i' ONE CIVIC SQUARE MOFAB INC. CHECK AMOUNT: $*******497.92* s ?q. CARMEL, INDIANA 46032 1415 FAIRVIEW STREET CHECK NUMBER: 241791 9Mi�aN:ao� ANDERSON IN 46016-3524 CHECK DATE: 02/03/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 251534 497.92 OTHER EXPENSES 1415 FAIRVIEW ST. / �✓ ANDERSON; IN 46016-3524" PH ON E(765)649-5577 QUALITY SINCE 1958 FAX:(765)641-1555 �- -INVOICE C,� CUT PRIME RED PLASMA DATE TO SHIP (' STEEL BEND WELD PRIME GREY CUTTING sC' PY of � � � P4-4 H T4 T 0 4�oD­7 CU TOMER ORDER NO. OR RED BY S LLD�B�Y� SH VIIA� ORDEJRD E INV1OICEPATE� i I `1-1 o)C7 1'­� CASH X CHRG I�{J _I f � !� 1 1 f CITY.`' B.O. DESCRIPTION UNft PRICE AMOUNT p I - ss X TERMS: 15%RESTOCKING CHARGE ON RETURNED MATERIALS. C�l TAX NO BACK CHARGES WILL BE ACCEPTED WITHOUT PRIOR APPROVAL. l� 1%%PER MONTH OR 18%ANNUAL SERVICE CHARGE FOR ALL INVOICES OVER 30 DAYS. IL 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 ADVICE GIVEN OR THE RESULTS OBTAINED,ALL SUCH ADVICE BEING GIVEN AND ACCEPTED AT BUYER'S RISK THANK YOU O• THIS ORDER.WE LOOKFORWARD RECEIVED THE //ABOVE IN,GO�D',.C'1O�NDITION 1 DATE. I /� 15� F ORIGINAL INVOICE ., VOUCHER # 146570 WARRANT # ALLOWED 351019 IN SUM OF $ MOFAB INC. 1415 FAIRVIEW STREET ANDERSON, IN 46016-3524 J i Carmel Wastewater Utility i i ON ACCOUNT OF APPROPRIATION FOR i I Board members PO# INV# ACCT# AMOUNT i Audit Trail Code 251534 01-7500-02 $497.92 1 i J I i I I Voucher Total $49792 i Cost distribution ledger classification if claim paid under vehicle highway fund 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. Payee 351019 MOFAB INC. I Purchase Order No. 1415 FAIRVIEW STREET Terms ANDERSON, IN 46016-3524 Due Date 1/28/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/28/2015 251534 $497.92 1 i i i i i 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