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211383 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 00351019 Page 1 of 1 •I � I� ONE CIVIC SQUARE MOFAB INC. CHECK AMOUNT: $281.15 CARMEL, INDIANA 46032 1415 FAIRVIEW STREET ANDERSON IN 46016-3524 CHECK NUMBER: 211383 CHECK DATE: 7/31/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 609 5023990 234573 83 . 16 1050 . 06 651 5023990 234869 197 . 99 OTHER EXPENSES 1415.FAIRVIEW ST. ANDERSON,IN 46016-3524 PHONE(765)649-5577 QUALITY SINCE 1958 �' FAX:(765)641-1555 INVOICE CUT PL DATE�TOSH,IP PRIME RED ASMA Fkl J STEEL BEND WELD PRIME GREY, t CUTTING �fA.. 0 . H. 3 r� A,�u t�l,�-.) J` l P D � / _ _o - YY \--e J `T C�{aZ T e o. CUSTOMER ORDER N0. ORDERED.//BY SOLDjBY SHIP VIA ORDER DATE INVOICE DATE CASH �f CHRG [ a,, a< � �,{, _'+ �7 �l �a• OTY. B.O. ;J `?Its-S�i DESCRIPTION W � `• � UNIT PRICE AMOUNT' L . J L 1 z©lz v t } VQ-II TERMS: 15%RESTOCKING CHARGE ON RETURNED MATERIALS. TAX NO BACK CHARGES WILL BE ACCEPTED WITHOUT PRIOR APPROVAL. 1%k!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 . f} IS GIVEN WITHOUT CHARGE,AND WE SHALL HAVE NO OBLIGATION OR LIABILITY FOR THE ADVICE GIVEN OR THE.RESULTS 95 OBTAINED,ALL SUCH ADVICE BEING GIVEN AND ACCEPTED AT BUYER'S RISK. THANK 1 1 1 t 1 VING,YOU; GAIN_ RECEIVED THE ABOVE IN GOOD CONDITION DATE / / 1 jjll PACVJNG SLIP . a 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 7/24/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/24/2012 234869 $197.99 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 Officer VOUCHER # 125400 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 234869 01-7202-06 $197.99 Voucher Total $197.99 Cost distribution'ledger classification if claim paid under vehicle highway fund 1415 FAIRVIEW ST. ANDERSON, IN 46016-3524 7 PHONE(765)649-5577 QUALITY SINCE 1958 FAX:(765)641-1555 F_ e: s INVOICE CUT PRIME RED PLASMA DATETOSHIP STEEL' BEND WELD PRIME GREY CUTTING CI or C � S t;1 wy it -� S T 11 1 A-� i�1 .4 11� 1 `'� r) T 0 CUSTOMER ORDER NO. ORDERED BY SOLD BY SHIP VIA ORDER DATE INVOICE DATE CASH CHRG / 1 'l/I z OTY. B.O. DESCRIPTION UNIT PRICE AMOON T . too lD - J 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 OBTAINED,ALL SUCH ADVICE BEING GIVEN AND ACCEPTED AT BUYER'S RISK. YOU ORDER:WE LOOK FORWARD TO SERV ING Y OU AGAIN -.. RECEIVED THE ABOVE IN GOOD CONDITION DATE ORIGINAL.INVOICE j 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 7/24/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/24/2012 234573 $83.16 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 141111 Date 0 er VOUCHER # 121667 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 234573 07-1050-06 $83.16 COfi(Vec o/L) Voucher Total $83.16 Cost distribution ledger classification if claim paid under vehicle highway fund