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HomeMy WebLinkAbout204480 12/07/2011 CITY OF CARMEL, INDIANA VENDOR: 00351019 Page 1 of 1 ONE CIVIC SQUARE MOFAB INC. CHECK AMOUNT: $4,621.75 CARMEL, INDIANA 46032 1415 FAIRVIEW STREET ANDERSON IN 46016 -3524 CHECK NUMBER: 204480 CHECK DATE: 12/7/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 609 5023990 230081 4,621.75 OTHER EXPENSES F 1415 FAIRVIEW ST. ANDERSON, IN 46016 -3524 PHONE (765) 649 -5577 2 3 0 8 1 m QUALITY siNC �9se FAX: (765) 641 -1555 INVOICE CUT PRIME RED PLASMA DATE TO SHIP STEEL -BEND W ELD PRIME GREY- CUTTING \wee K y ECG H I 02 CUSTOMER ORDER NO. ORDERED BY­„ `SOLD BY SHIP VIA ORDER DATE INVOICE DATE CASH CHRG (U TAI II L i k 16� OTY- B.O... DESCRIPTION UNIT PRICE AMOUNTS x o t V'J k a Iv J z f 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 Fry IS GIVEN WITHOUT CHARGE, AND WE SHALL HAVE NO OBLIGATION OR LIABILITY FOR THE ADVICE GIVEN OR THE RESULTS' OBTAINED, ALL SUCH ADVICE BEING GIVEN AND ACCEPTED AT BUYER'S RISK NK YOU 1 O LOOK YO RECEIVED THE ABOVE IN GOOD CONDITION DATE 31 �1 ORIGINAL INVOICE VOUCHER 113145 WARRANT ALLOWED 351019 IN SUM OF MOFAB INC. 1415 FAIRVIEW STREET ANDERSON, IN 46016 -3524 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 230081 07- 1052 -03 $4,621.75 CO N y 0 N Voucher Total $4,621.75 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 12/1/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/1/2011 230081 $4,621.75 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 ji" Date icer