244544 4 /21/2015 Q�.4�q
�y +,• CITY OF CARMEL, INDIANA VENDOR: 00351019
(1l .!
ONE CIVIC SQUARE MOFAB INC. CHECK AMOUNT: $*******103.12*
CARMEL, INDIANA 46032 1415 FAIRVIEW STREET CHECK NUMBER: 244544
, _�oN ANDERSON IN 46016-3524 CHECK DATE: 04/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 253000 103.12 OTHER EXPENSES
I
1415 FAIRVIEW ST. .
ANDERSON, IN 46016-3524N
PHONE(765)649-5577 b
QUALITY SINCE 1958 FAX:(765)641-1555
PLEASE PAY FROM THIS INVOICE NET ' ' - -�. INVOICE
\ CUT PRIME RED PLASMA DATE TO SHIP ,� l
p� STEEL BEND WELD PRIME GREY CUTTING
CUSTOMER ORDER NpO�. ORDERED BY SOLD BY /� SHIP IA ORDEfi DATE INVOIC DATE
-F0 S i CASH CHRG E ,s �T 1 , I AT)j �°
QTY. B.O. DESCRIPTION UNIT PRICE AMOUNT
03
l `4
TERMS: 15%RESTOCKING CHARGE ON RETURNED MATERIALS. TAX
NO BACK CHARGES WILL BE ACCEPTED WITHOUT PRIOR APPROVAL.
11/1%PER MONTH OR 18%ANNUAL SERVICE CHARGE FOR ALL INVOICES OVER 30 DAYS. 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 \ i
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 ABOVE-IN�GOO_D_CtONDITION
X" '"�" f .. ' DATE
ORIGINAL INVOICE:::
VOUCHER # 155329 WARRANT# ALLOWED
351019 IN SUM OF $
MOFAB INC.
1415 FAIRVIEW STREET i
ANDERSON, IN 46016-3524 "
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
I
253000 01-7202-06 $103.12
I
y.
I
.I
4
i
Voucher Total $103.12
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
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. Purchase Order No.
1415 FAIRVIEW STREET Terms
ANDERSON, IN 46016-3524 Due Date 4/15/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/15/2015 253000 $103.12
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