HomeMy WebLinkAbout177322 09/15/2009 a CITY OF CARMEL, INDIANA VENDOR: 00351019 Page 1 of 1
Q� ONE CIVIC SQUARE MOFAB INC.
CARMEL, INDIANA 46032 1415 FAIRVIEW STREET
CHECK AMOUNT: $261.12
ANDERSON IN 46016 -3524 CHECK NUMBER: 177322
CHECK DATE: 9/15/2009
DEPARTMENT ACCOUNT P O NU INVOICE NUMBE AMOUNT DESCRIPTION
651 5023990 216215 261.12 OTHER EXPENSES
1415 FAIRVIEW ST.
o� ANDERSONJN 46016 -3524
PHONE (765) 649 -5577
:4uA�iry SINCE 195s FAX: (765) 641-1555
INVOICE
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TERMS: 15% RESTOCKING CHARGE ON RETURNED MATERIALS: TAX
NO BACK CHARGES WILL BE ACCEPTED WITHOUT PRIOR APPROVAL.
1X% 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
OBTAINED, ALL SUCH ADVICE BEING GIVEN AND ACCEPTED AT BUYER'S RISK Q
RECEIVED THE GOOD CONDITION
f mil �Q DATE
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 9/8/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/8/2009 216215 $261.12
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date fficer
VIJUCHER 096360 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
216215 01- 7202 -05 $261.12
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Voucher Total $261.12
Cost distribution ledger classification if
claim paid under vehicle highway fund