205937 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 00351019 Page 1 of 1
ONE CIVIC SQUARE MOFAB INC.
CARMEL, INDIANA 46032 1415 FAIRVIEW STREET CHECK AMOUNT: $102.18
ANDERSON IN 46016 -3524
CHECK NUMBER: 205937
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 231239 102.18 OTHER EXPENSES
P 1415 FAIRVIEW ST.
ANDERSON, IN 46016 -3524, 9
PHONE (765) 649 -5577
QUALITY SINCE-1958 FAX: (765) 641 -1555
INVOICE
CUT 'PRIME RED PLASMA DATE TO SHIP
STEEL BEND WELD PRIME GREY CUTTING
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CUSTOMER ORDER NO. ORDERED BY i S O L D BY SHIP VI ORDER INVOICE DATE
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OTY. B.Od DESCRIPTION w' UNIT PRICE AMOUNT
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TERMS: 15% RESTOCKING CHARGE ON RETURNED MATERIALS, 3c 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 i
IS GIVEN WITHOUT CHARGE, AND WE SHALL HAVE NO OBLIGATION OR LIABILITY FOR THE ADVICE GIVEN OR THE RESULTS f
OBTAINED, ALL SUCH ADVICE BEING GIVEN AND ACCEPTED AT BUYER'S RISK 1
THANK YOQ FOR THIS ORDER. WE L TO SERVING YOU� AGAIN
RECEIVED THE ABOVE IN GOOD CONDITION
DATE 1
ORI®INAL. IWOICE
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 1/24/2012
1
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/24/2012 231239 $102.18
p
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 O icer
VOUCHER 116651 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
231239 01- 7202 -06 $102.18
Voucher Total $102.18
Cost distribution ledger classification if
claim paid under vehicle highway fund