HomeMy WebLinkAbout212699 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 00351019 Page 1 of 1
0 ONE CIVIC SQUARE MOFAB INC.
CARMEL, INDIANA 46032 1415 FAIRVIEW STREET CHECK AMOUNT: $651.59
ANDERSON IN 46016-3524
CHECK NUMBER: 212699
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 235571 651 . 59 OTHER EXPENSES
1415-FAIRVIEW ST.
_ ANDERSON, IN 46016-3524 3 5
PHONE(765)649-5577
QuAUrY SINCE ls58 FAX:(765)641-1555
INVOICE
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CUSTOMER ORDER NO. ORDERED�BY/ SOLD ByP S/HIP VIA O(R�DER DATE 1 INVOICE DATE��
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QTY. B.O. vv DESCRIPTION v UNIT PRICE AMOUNT
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TERMS: 15%RESTOCKING CHARGE ON RETURNED MATERIALS
+ NO B_CK CHARGES WILL BE ACCEPTED WITHOUT PRIOR APPROVAL.' TAX
A
S 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 fO A 7
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. ..
RECEIVED THE ABOVE IN GOOD CONDITION
DATE
ORIGINAL INVOICE
VOUCHER # 125649 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
235571 01-7202-06 $651.59
Voucher Total $651.59
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 9/5/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/5/2012 235571 $651.59
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