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210959 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 00351019 Page 1 of 1 ONE CIVIC SQUARE MOFAB INC. CARMEL, INDIANA 46032 1415 FAIRVIEW STREET CHECK AMOUNT: $90.92 ANDERSON IN 46016-3524 CHECK NUMBER: 210959 CHECK DATE: 7/1712012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 234364 90 . 92 OTHER EXPENSES 1415 FAIRVIEW ST. ANDERSON, IN 46016-3524 PHONE(765)649-5577 - 3 6 QUALITY SINCE 1958 FAX:(765)641-1555 L = INVOICE CUT PRIME RED PLASMA D ETOSHIP fjC STEEL BEND WELD PRIME GREY CUTTING. �l.��1t S � V� �� S -7&- L qboq CUSTOMER ORDER NO. ORDERE/D 1BY/ 1 SOLD Y .(, SHIP VIA / ORDER DATE +INVOICE DATE t� 0,[/l CASH CHRG / 1 /u j V lf!'t-f` OTY. B.O. /� U L) DESCRIPTION ( UNIT PRICE AMOUNT l i SS l /l V2_ 4'0 j l�4 3 13 sz 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 MATERIALS"� °/j' - IS GIVEN WITHOUT CHARGE,AND WE SHALL HAVE NO OBLIGATION OR LIABILITY FOR THE AD eGIVEN,O THE RESULTS (,,//�,jj�� 9 OBTAINED,ALL SUCH ADVICE BEING GIVEN AND ACCEPTED AT BUYER'S RISK / o / THANK 1 1t OOK FORWARD TO SERVING YOU-AGAIN RECEIVED THE AB6VE IN GOOD CONDITIdN / DATE ORIGINAL INVOICE ?�.•" �x . - , VOUCHER # 125294 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 234364 01-7202-06 $90.92 Voucher Total $90.92 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 7/12/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/12/2012 234364 $90.92 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 7 //.3/v C Date Officer