HomeMy WebLinkAbout190389 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 00351019 Page 1 of 1
ONE CIVIC SQUARE MOFAB INC.
j 0 CHECK AMOUNT: $251.09
CARMEL, INDIANA 46032 1415 FAIRVIEW STREET
ANDERSON IN 46016 -3524 CHECK NUMBER: 190389
CHECK DATE: 9129/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 222654 251.09 OTHER EXPENSES
1415 FAIRVIEW ST.
o ANDERSON, LN 46016-3524 ee q
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QUALITY SINCE 195
FAX:'(765) 641 -1555.
INVOICE
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CUSTOMER ORDER NO. O RDERED BY S L BY SHIP ORDER DATE INVOICE DATE
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C B.O. DESCRIPTION J UNIT PRICE AMOUNT
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TERMS: 15% RESTOCKING CHARGE ON RETURNED MATERIALS. TAX
NO BACK CHARGES WILL BE ACCEPTED WITHOUT PRIOR APPROVAL-
i%% 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 ADV rGIVjN OR THE RESULTS
OBTAINED, ALL SUCH ADVICE BEING GIVEN AND ACCEPTED AT BUYER'S RISK
NK 1 1' 11 1' 1 1 1
RECEIVED THE ABOVE IN G OD GOND TION
x DATE Z-7 (�3
ORIGINAL INVOICE--'
VOUCHER 106239 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
I
222654 01- 7202 -06 $251.09
I
Voucher Total $251.09
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 e
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 9/16/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/16/2010 222654 $251.09
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