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246445 06/17/15 CITY OF CARMEL, INDIANA VENDOR: 00351019 / ., ONE CIVIC SQUARE MOFAB INC. CHECK AMOUNT: $*******192.42" :C =a CARMEL, INDIANA 46032 1415 FAIRVIEW STREET CHECK NUMBER: 246445 ANDERSON IN 46016-3524 CHECK DATE: 06/17/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 652 5023990 254154 192.42 OTHER EXPENSES `I 1415 FAIRVIEW ST. ANDERSON, IN 46016-3524 ' PHONE(765)649-5577 QUALITY SINCE gess FAX:(765)641-1555 _ PLEASE PAY FROM THIS INVOICEINVOICE PRIME RED PLASMA ID ,r I �� STEEL-� CUT 'J " ' END WELD PRIME GREY CUTTWGE�1tP ,7 o H - o �l,cam 6��` P A_ "'e� o ��� .ren -I-', � - T 4pCUSr ORDER DATE f INVOICE DATE -^ 5 o-`Aj,5 gMER ORDER O. ORDERED BY CASH SOLD BY f 7 V 1-� OTY. B.O. DESCRIPTION UNIT PRICE AMOUNT 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. 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 LOOK RECEIVED THE ABOVE'1N G0P�D COfIDIT10N.r X 1 DATE I I ORIGINAL INVOICE i VOUCHER # 155717 WARRANT # ALLOWED 351019 IN SUM OF $ MOFAB INC. 1415 FAIRVIEW STREET ANDERSON, IN 46016-3524 Carmel Wastewater UtilityI ON ACCOUNT OF APPROPRIATION FOR Board members I PO# INV# ACCT# AMOUNT i Audit Trail Code 254154 02-2308-00 $192.42 Depreciation ,1 it l Voucher Total $192.42 it Cost distribution ledger classification if claim paid under vehicle highway fund J 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 6/9/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/9/2015 254154 $192.42 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