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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