214015 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 00351019 Page 1 of 1
s 0 ONE CIVIC SQUARE MOFAB INC.
�+o CARMEL, INDIANA 46032 1415 FAIRVIEW STREET CHECK AMOUNT: $1,485.52
y�.ron � ANDERSON IN 46016-3524 CHECK NUMBER: 214015
CHECK DATE: 10123/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
609 5023990 235748 1, 007 . 00 OTHER EXPENSES
651 5023990 236128 159 . 12 OTHER EXPENSES
651 5023990 236332 319 .40 OTHER EXPENSES
" 1415 FAIRVIEW ST.
ANDERSON; IN 46016-3524 3L,7
PHONE(765)649-5577
QUALITY SINCE�sss FAX:.(765)641-1555
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PLEASE i,�vi,-itowrHIS INVOICE-NLT30.DA ,..
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CUSTOMER ORDER NO, ORDERED BY i SOLD 6 JSHIPVIA�� ORDER DATE INVOICE DATE�p
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OTV. B.O. DESCRIPTION UNITPRICE AMOUNT!
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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. .
THANK YOU FOR ORDER. 11 FORWARD'TO SERVING YOU AGAIN .
RECEIVED-THE AABOV`E INN-600D CONDITION
DATE 3-
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 10/15/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/15/201; 235748 $1,007.00
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
VOUCHER # 122493 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
235748 07-1050-06 $1,007.00
C oAl0eck Dr✓
(j 0
Voucher Total $1,007.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
?rr 1415 FAIRVIEW ST. C
ANDERSON IN 46016-3524 a
PHONE(765)649-5577 r.
QUALITY SINCE Bess
FAX:-(765)641-1555
INVOICE':
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Nyl STEEL BEND WELD PRIME GREY CUTTING
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CUSTOMER ORDER ORDER NO. ORDERED BY SOOLD BY SHIP VIA ORDDERiDAT—E�7 INVOICE DATE t TE t
. 1:+ J CASH X CHRG
OTY: B.O. DESCRIPTION UNIT'PRICE AMOUNT
oChi � WM
TERMS: 15%RESTOCKING CHARGE ON RETURNED MATERIALS. tAL NO-BACK CHARGES WILL BE ACCEPTED WITHOUT PRIOR APPROVAL-1 h%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-
IS GIVEN WITHOUT CHARGE,AND WE SHALL HAVE NO OBLIGATION OR LIABILITY FOR THE ADVICE GIVEN OR THE RESULTS cl
OBTAINED,ALL SUCH ADVICE BEING GIVEN AND ACCEPTED AT BUYER'S RISK
THANK YOU 1 1 ...
RECEIVED THE ABOVrE.IN GOOD CONDITION C
DATE . 0 /
' PACKING SLIP
FAIRVIEW ST. '
�../
ANDERSON' IN 46016;3524, 2 I
° PHONE(765)649 5577
auAUTV SINCE Mesa FAX:(765)641 1555
x , •
INVOICE:`
CUT - M PRIME RED PLASMA DATE TO SHIP
STEEL BEND WELD . PRIME GREY CUTTING 91
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CUSTOMER ORDER NO. ORDERED BY �SOLD BY `g SHIP V�IIAA } ORDER DATE�J I VOICE DATE
/� t k_ CASH i CHRG
�� f P? ►`". _ UNIT PRICE AMOUNT'
i
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 10/16/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/16/201; 236128 $159.12
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
/0//9�i-7i
Date Officer
VOUCHER # 125918 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
236128 01-7202-06 - $159.12
d3G33 a 01-7903 -046
'g7S45a
Voucher Total X-9Q1<
Cost distribution ledger classification if
claim paid under vehicle highway fund
I