HomeMy WebLinkAbout191295 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 00351019 Page 1 of 1
ONE CIVIC SQUARE MOFAB INC. CHECK AMOUNT: $237.32
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CARMEL, INDIANA 46032 1415 FAIRVIEW STREET
ANDERSON IN 46016 -3524 CHECK NUMBER: 191295
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 223476 237.32 MATERIALS SUPPLIES
1415 FAIRVIEW ST.
ANDERSON, IN 46016 -3524
PH ON E (765) 649 -5577
QUALITY SINCE 1958 FAX: (765) 641 -15
ri I of J INVOICE
CUT PRIME RED PLASMA DATE TO SHIP
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ATTAR ACCOUNTS PAYABLE I
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CARMEL IN 46032
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CUSTOMER ORDER NO. ORDERED BY SOLD BY I SHIP VIA O ER ATE INVOICE DATE
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OCT 1 2010
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TERMS: 15% RESTOCKING CHARGE ON RETURNED MATERIALS, TAX
NO BACK CHARGES WILL BE ACCEPTED WITHOUT PRIOR APPROVAL.
1'h% 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 LIA131LITY FOR THE ADVICE GIVEN OR THE RESULTS: f
OBTAINED, ALL SUCH ADVICE BEING GIVEN AND ACCEPTED AT BUYER'S RISK.
THANkYOU FOR THIS O•DER.'WE L0bK FORWARD TO
U AGAIN
RECEIVED TH OVE LGOODI CONDITION
x DATE
PACKING SLIP
VOUCHER 106417 WARRANT ALLOWED
351019 IN SUM OF
MOFAB INC.
1415 FAIRVIEW STREET
ANDERSON, IN 46016 -3524
t
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
223476 01- 7202 -06 $237.32
Voucher Total $237.32
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995t
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 10/18/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/18/201( 223476 $237.32
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