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170995 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 00351019 Page 1 of 1 ONE CIVIC SQUARE MOFAB INC. i 0 CHECK AMOUNT: $2,710.00 ,:•.�,�a: CARMEL, INDIANA 46032 1415 FAIRVIEW STREET ANDERSON IN 46016 -3524 CHECK NUMBER: 170995 CHECK DATE: 4/1612009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AM DESCRIPTION 659 5023990 S11515 212623 2,710.00 WEATHER HOOD a G� r 1415 FAIRVIEW ST. f x ANDERSON, IN 46016 -3524 PH E (765) 649 -5577 a 212 P. 3 QUALITY SINCE 1958. FAX: (765) 641 -1555 I/ k. INVOICE STEEL CUT V PRIME RED PLASMA DATE TO SHIP BEND PRIME GREY CUTTING :3 lo -0 S L I A YpM H 1 V Z�\ t pice.�'U O r a e.! �L DI T r PA V A Q -11 c i P In C IrtCa ..k 1 4 A 72 0 CUSTOMER ORDER NO. ORDERED BY SOLD BY SHIP VIA ORDER DATE INVOICE DATE' I CASH t/ CHRG �a 11 0 17 1 VVC�. 2 I I�Is� b'o9 OTY'. B.O. DESCRIPTION UNIT PRICES AMOUNT o s 1 �4 a 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 IS.GIVEN WITHOUT CHARGE, AND WE SHALL HAVE NO OBLIGATION OR LIABILITY FOR THE ADVICE GIVEN OR THE RESULTS Z 710 OBTAINED, ALL SUCH ADVICE BEING GIVEN AND ACCEPTED AT BUYER'S RISK 1 l THANK 1 1' RECEIVED TH IABOVEiIN GOOD COND l) DATE V .ORIGINAL INVOICE 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 4/7/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/7/2009 212623 $2,710.00 hereby certify that the attached invoice(s), or bill(s) is (are) true and xrect and I have audited same in accordance with IC 5- 11- 10 -1.6 Date Off fG, VOUCHER 095408 WARRANT ALLOWED 351019 IN SUM OF WFAB 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 212623 07- 1050 -61 $2,710.00 0 0 Voucher Total $2,710.00 Cost distribution ledger classification if claim paid under vehicle highway fund