163312 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 00351019 Page 1 of 1
ONE CIVIC SQUARE MOFAB INC.
CARMEL, INDIANA 46032 1415 FAIRVIEW STREET CHECK AMOUNT: $4,685.00
ANDERSON IN 46016 -3524
�a CHECK NUMBER: 163312
CHECK DATE: 9/3/2008
DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION
4120.5 4350100 208352 4,685.00 BUILDING REPAIRS MA
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f
y 1415FAIRVIEW
ANDERSON, IN 4601fi =3524y 2 0 8���
PHONE (765) 649.5577,
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FAX: (765) 641-1555J
t EQUALITY SINCE-4958; 't
o rl� INVOICE
CUT PRIME RED PLASMA DATE OSHIP
r STEEL BEND WELD PRIME GREY CUTTING W
rATV OF -CA V1 H
O� f O? O
CUSTOMER ORDER NO ORDERED BY. r C S SHIP VIA!' ORDER DATE INVOICE DATE. A
1 FiRG Cusco
CASH
QTY. .B.O.'-_: DESCRIPTION UNIT PRICE AMOUNT
D�s� b l�C �S S b/ I .SSA. V� �5:1 0'* A 1 Q
IV-
5�8 OS
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TERMS: 15% RESTOCKING CHARGE ON RETURNED MATERIALS. y TAX
NO BACK CHARGES WILL BE ACCEPTED WITHOUT PRIOR APPROVAL.
454%PER MONTH OR 18% ANNUAL SERVICE CH ARGE FOR ALL INVOICES OVER 30 DAYS.
Q TOTA MOFAB, INC. IS`NOT AN ENGINEERING FIRM AND ANY TECHNICAL ADVICE'WE FURNISH WITH RESPECTTQTHE`USE OF MATERIAL' IS GIVEN WITHOUT CHARGE, AND WE SHALL HAVE N0' OBLIGATION OR. LIABILITY FOR THE ADVICE GIV EN OR'THE RESULTS. 1
OBTAINED, ALL SUCH ADVICE BEING GIVEN AND ACCEPTED AT BUYER'S RISK.
e e• e•e ee e• •o o e
RECEIVED THE`ABOV"I: (NfGOOD.CONDITION '7
i i7 I f f r
l DATE
i e:. ORIGINAL INVG.vE
I
i 20 5
MG7AB, INC.
1415 Fairview St. S T A T E M E N T
ANDERSON, IN 46016
765 649 5577
STATEMENT DATE: 07/31/08
CUSTOMER ID.: 884
PAGE: 1
CITY OF CARMEL
ATTN: ACCOUNTS PAYABLE
760 3RD AVE SW SUITE 110
CARMEL, IN 46032
!NVOICE DATE TERMS OR REF CODE DEBITS CREDITS BALANCE
208352 07/29/08 SA 4685.00 4685.00
4685.00 0.00 4685.00
1 30 31 60
CURRENT PAST DUE. PAST DUE
4685.00 0.00 0.00 TOTAL DUE 4685.00
OVER 60
PAST DUE TOTAL
0.00 4685.00
I
1415 FAIRVIEW ST.
n ANDERSON, IN 46016-3524'
PHONE (765) 649 -5577 20 8
FAX: (765) 641 -1555
QUALITY SINCE °1958
x INVOICE
CUT PRIME RED PLASMA DATE TO SHIP
STEEL BEND WELD PRIME GREY CUTTING S row k
o
rJTv O F cf\� Yl V. H
j I
D P
T T.
CUSTOMER ORDER NO. ORDERED B ISOLDBY ISHIPV& ORDER DATE INVOICE DATE
CASH
QTY. B.O. DESCRIPTION UNIT PRICE AMOUNT
r
L
i
TERMS: 15% RESTOCKING CHARGE ON RETURNED MATERIALS. v 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 ADVICE GIVEN OR THE RESULTS' P
OBTAINED, ALL SUCH ADVICE BEING GIVEN AND.ACCEPTED AT BUYER'S.RISK.
e e• e•o ee e• •e e e
RECEIVED THE ABOVE (NIGOOD CONDITION
1� DATE
PACKING SLIP
i
I
7/2412008 Receiver Print Page 1
CARMEL WASTEWATER TREATMENT PLANT Receiver No. 4189
9609 HAZEL DELL PARKWAY PO No. S11238
Release No. 0
Status All Received
INDIANAPOLIS IN 46280
U.S.A.
Vendor ID 351019 Vendor Address
1415 FAIRVEIW ST.
Telephone No. (765) 649 -5577 Extension
Fax No. (765) 641 -1555
Vendor MOFAB INC. ANDERSON IN 46016 -3524
USA
Item No. Unit of Purchase Account Code Qty Requested (UOP) Qty Received Adjusted Unit Cost
Description on PO Date Received Backorder (UOP) Total
NS 11238 EACH 142.00 1.00 1.00 4,350.00
POOL GRA 7/2 4/2008 I 0.00 4,350.00
Carrier
Received By �e�n t
Date LH Total Cost s 4,350.00
T cl 9E92- TLS -LIE .aacloo0 ijar d90:10 BO t Inr
�I
Jul 31 08 07:43a Jeff Cooper 317- 571 -2636 p.1
7/30/2008 Receiver Print Page 1
CARMEL ASTEWATER TREATMENT PLANT Receiver No. 4192
9609 HAZ L DELL PARKWAY PO No. S11266
Release No. 0
Status All Received
INDIANAPDLIS IN 46280
U.S.A.
Vendor SEW EURO Vendor Address
2001 WEST MAIN ST.
Telephone o. 937 335 -0036 Extension
Fax No. 937440 -3799
Vendor SEW EURODRIVE INC. TROY OH 45373
USA
Item No. Unit of Purchase i Account Code I Qty Requested (UOP) Qty Received Adjusted Unit Cost
Descriptiol on PO Date Received Backorder (UOP) Total
NS 11266 EACH 02.3800.40 1.00 1.00 1,556.63
GEAR BO AND M OTOR QUOTE Q 7/3012008 0.00 1,556_63
Carrier
Received By
Date Total Cost 1,556.63
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 7995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
MOFAB,Inc, Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
0 7129/08 2_00 8352 i erg ass Fountain Screen w ex ra baskets c 1ps
Total
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.
20
Clerk- Treasurer
VOUCHER NQ ARRANT NO.
UU ALLOWED 20
MOFAB, Inc.
IN SUM OF
14.15 Fairview Street
Anderson, IN 46U16
$4,685.00
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1205 Administration
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1205 208352 50 o materials or services itemized thereon for
which charge is made were ordered and
received except
20
Si- attire
i
Cost. distribution ledger classification if Title
claim paid motor vehicle highway fund