HomeMy WebLinkAbout183874 03/29/2010 CITY OF CARMEL, INDIANA VENDOR: 00351019 Page 1 of 1
ONE CIVIC SQUARE MOFAB INC.
CHECK AMOUNT: $55.95
CARMEL, INDIANA 46032 1415 FAIRVIEW STREET
ANDERSON IN 46016 -3524 CHECK NUMBER: 183874
CHECK DATE: 3/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVO NUMBER AMOUNT DESCRIPTION
651 5023990 219385 55.95 OTHER EXPENSES
t 1415 FAIRVIEW ST.
ANDERSON, IN ,46016.3524
PHONE (765) 649 -5577
QUALITY SINCE 1958 FAX: (765)641 -1555
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CUSTOMER ORDER NO. OR o.eY: SOL� S P\VIA ORDER DATE I LP
OTY, B.O. DESCRIPTION I UNIT PRICE AMOUNT
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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 Q
IS GIVEN WITHOUT CHARGE, AND WE SHALL HAVE NO OBLIGATION OR LIABILITY FOR THE ADVICE GIVEN OR THE RESULTS S 7
OBTAINED, ALL SUCH ADVICE BEING GIVEN AND ACCEPTED AT BUYER'S RISK l
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THAN9 YOU RECEIVED TH ABOVE IN GOOD C IT ON
1
X DATE'
t— ORIGINAL INVOICE
4VOUCHER 10,5105- WARRANT ALLOWED
351019 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
219385 01- 7202 -06 $55.95
Voucher Total $55.95
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 3/22/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/22/2010 219385 $55.95
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