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213575 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 00351019 Page 1 of 1 ONE CIVIC SQUARE MOFAB INC. CARMEL, INDIANA 46032 1415 FAIRVIEW STREET CHECK AMOUNT: $1,175.28 ANDERSON IN 46016-3524 CHECK NUMBER: 213575 CHECK DATE: 10/9/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 236055 1, 000 . 00 OTHER EXPENSES 651 5023990 236262 175 . 28 OTHER EXPENSES 1415 FAIRVIEW ST. ANDERSON, IN 46016-3524 , PHONE(765)649-5577 QUALITY SINCE 1958 ® FAX:(765)641-1555 PLEASE-PAV FROM TH -NET--PS INV61,CE 10 DAYS, -i INVOICE CUT PRIME RED PLASMA DAT I.V SHIP STEEL BEND WELD PRIME GREY CUTTING Uc�°-jv n-40J. OS &I S a _b r^P �(l ,(L le-- H T (�aT y1^ TIVC�Q Q. CUSTOMER ORDER NO. ORDERED BY SOLrD BY SHIT IA ORDER DATE I,VOICE DATE�� `A' CASH !/ CHRG ( /�/l., f ��/ ! 5� (�-'� �'a 7•��, 6T� v Y.0 B.O. J) V DESCRIPTION t ` V� UNIT PRICE AMOUNT' x lo - i i , • v r I //mil u / 'lam x�brD �C _ to r a /i x // z i�% „�,�n ,��,.�,� �3U 1V d ® hS 2Y E. r . S , TERMS: 15%RESTOCKING CHARGE ON RETURNED MATERIALS. NO BACK CHARGES WILL BE ACCEPTED WITHOUT PRIOR APPROVAL. TAX 1'/,%PER MONTH OR 18%ANNUAL SERVICE CHARGE FOR ALL INVOICES OVER 30 DAYS. r'\ TOTAL MOFAB,INC.IS NOT AN ENGINEERING FIRM AND ANY TECHNICAL ADVICE WE FURNISH WITH RESPECT TO THE USE OF MATERIAL J�1 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. . THANK YOU FORJHIS ORDER. OO RECEIVED THE ABOVE IN GOOD CONDITION DATE ORIGINAL.INVOICE --•- - 1415 FAIRVIEW ST. 10- ANDERSON, IN 46016-3524 , PHONE(765)649-5577 . 2 3 ®� QUALITY SINCE 1958. FAX:(765)641 1555 -.. 1 INVOICE CUT PRIME RED PLASMA DAVTOSHIP "STEEL BEND- WELD PRIME GREY CUTTING 9 �( S' O ��L.• 1N)1-tom t` tL) `bB,4=4 H i `l -�l 1 tjq -- �0-5?212- - T I Woo A-1.I A100L � 1 [-J 4(.0 2-�D CUSTOMER ORDER NO. ORDERED BV S E t SHIP VIA ORDER DATE INVOICE DATE C� 1\Q_]:�. CASH NFCHRG (�CA�✓dt G'�� `"tI � a`�'` ` OTY. B.O. f U v DESCRIPTION UNIT PRICE AMOUNT v 1000 00 . f S 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, MOFAB,INC.IS NOT AN ENGINEERING FIRM AND ANY TECHNICAL ADVICE WE FURNISH WITH RESPECT TO THE USE OF MATERIAL /Jn TOTAL IS GIVEN WITHOUT CHARGE,AND WE SHALL HAVE NO OBLIGATION OR LIABILITY FOR THE ADVICE GIVEN OR THE RESULTS (V�t) 0009 T- OBTAINED,ALL SUCH ADVICE BEING GIVEN AND ACCEPTED AT BUYER'S RISK T HA HIS � � �� 1 SERVING YOU AGAIN: RECEIVED THE ABOVE IN GOOD CO DITION - �� DATE F' 0 F4I0INAL INVOICE VOUCHER # 125820 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 236055 01-7202-06 $1,000.00 9'5630 0j--7a09-0(. I*15.d$ Voucher Total b i 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 10/3/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/3/2012 236055 $1 ,000.00 hereby certify that the attached invoice(s), or bill(s) is (are) true and ;orrect and I have /aud/ited same in accordance with IC 5-11-10-1.6 1 /d Date Officer