308203 02/13/17 �A`''� CITY OF CARMEL, INDIANA VENDOR: 00351019
`" ' . CHECK AMOUNT: $*****2,154.21
.j ® , . ONE CIVIC SQUARE MOFAB INC.
�. �_� CARMEL, INDIANA 46032 1415 FAIRVIEW STREET CHECK NUMBER: 308203
9�;���oN�� ANDERSON IN 46016.3524 CHECK DATE: 02/13/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 265547 2,154.21 OTHER EXPENSES
VOUCHER # 167061 WARRANT # ALLOWED
P351019 IN SUM OF $
MOFAB INC.
1415 FAIRVIEW STREET
ANDERSON, IN 46016-3524
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
265547 01-7202-06 2,154.21 f
Voucher Total 2,154.21
Cost distribution ledger classification if
claim paid under vehicle highway fund
1415 FAIRVIEW ST:,
R E w w ® ANDERSON, IN 46016-3524
s ' PHONE (765)649-5577
FAX: (765)641-1555 .
www.mofabinc.com
Quality Fabricating Since 1958 INVOICE
DRAWING STEEL I X CUT = - —=DRILL/PUNCH:- WELD I I PAINT I DATE TO SHIP:
DRWN REQ BY: • 55 BEND PLASMA PRIME(R)or(G) GALVANIZE
ALUM ROLL WATERJET SANDBLAST I I POWDER COAT
G f Y `L°G r.vi
D 3�45O �a 9 �, �. r P x
T CARPELo IN dbJ74 ` T
O O
CUSTOM16 ER (9_7 0 D BY� CASH TE
CHRG SOLD-¢Y® ISHUPVIA� 0��RDE11W . I I 1�M ICE I� 9
CITY. ��JJQQ_ B.O. DESCRIPTION py�i �( UNIT PRICE AMOUNT
40
11 , YSrsLQF X 1`
Y4- y 106
CI / I
oho-�- U tu'�
TERMS: 15%RESTOCKING CHARGE ON RWRNED MATERIALS.
BACK CHARGES WILL NOT BE ACCEPTED WITHOUT PRIOR APPROVAL. TAX
1%%PER MONTH OR 18%ANNUAL SERVICE CHARGE FOR ALL INVOICES OVER 30 DAYS. TOTAL _
MOFAE INC.IS NOT H ENGINEERING FIRM AND ANYOTECHNICAL OBLIGATION OR LI WE FURNISH WITH RESPECT TO THE USE OF MATERIAL
IS GIVEN WITHOUT CHARGE,AND WE SHALL HAVE NO OBLIGATION OR LIABILITY FOR THE ADVICE OR THE RESULTS OBTAINED.
ALL SUCH ADVICE BEING GIVEN AND ACCEPTED AT BUYER'S RISK.
THANK YOU •' THIS ORDER. •• FORWARD TO SERVING YOU
❑ 0 X �i ° � � DATE � ' V
. . (,RECEIVED THE ABOVE IN GOOD CONDITION. °
❑ X - DATE
BACK ORDER
ORIGINAL INVOICE,