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216801 01/29/2013
CITY OF CARMEL, INDIANA VENDOR: 00351019 Page 1 of 1 ONE CIVIC SQUARE MOFAB INC. s' s' CARMEL, INDIANA 46032 1415 FAIRVIEW STREET CHECK AMOUNT: $180.00 ANDERSON IN 46016-3524 CHECK NUMBER: 216801 CHECK DATE: 1/29/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4350000 237675 180 . 00 EQUIPMENT REPAIRS & M 1415 FAIRVIEW S f` ANDERSON, IN 46016-35 f RF�UI� 65)649 5577 2-3?� .5 QUALITY SINCE 1958 FAX:(765)641-1555 INVOICE: CUT PRIME RED PLASMA D OSHIP1 STEEL BEND WELD PRIME GREY CUTTING • ?•t Jc! I T r��r rn e �Z J� f�o, T 0 0 CUSTOMER ORDER NO. ORDERED BY SOLD BY �,°� ISHIPVIA[ ORDER DATE �y INVOICE DATE N 1�} VI JC H RG 1 L�I4 1� �l�U//3A/ � OTY. B.O. �U DESCRIPTION UNIT PRICE b AMOUNT DesCrfpt'On AAA I P.O.# P F L. Bud et LI^e UOSC; DEAe Approval Date 1Z-21 C a Lealme-iS _ -rc, TERMS: 15%RESTOCKING CHARGE ON RETURNED MATERIALS. TAX NO BACK CHARGES WILL BE ACCEPTED WITHOUT PRIOR APPROVAL. f 1%%PER MONTH OR 18%ANNUAL SERVICE CHARGE FOR ALE INVOICES OVER 30 DAYS. - TOTA MOFAB,INC.IS NOT AN ENGINEERING FIRM AND ANY TECHNICAL ADVICE WE FURNISH WITH RESPECT TO THE USE OF MATERIAL AS GIVEN WITHOUT CHARGE,AND WE SHALL HAVE NO OBLIGATION OR LIABILITY FOR THE ADVICE GIVEN OR THE RESULTS /�v�` © O OBTAINED,ALL SUCH ADVICE BEING GIVEN AND ACCEPTED AT BUYER'S RISK. TH�NK YOU FORIHIS ORDER.WE LOOK FORWARD'TO SERVING YOU AGAIN RECEIVED THE ABOVE IN GOOD CONDITION - -- - -- --- -- -- -- _ -- Ga t_•�`ti C�� ?e�I 'i-?1 DATE ! ! ✓ ( ! t . .. ORIGINAL INVOICE ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Mofab Inc. Terms 1415 Fairview St Anderson, IN 46016-3524 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 12/21/12 237675 Repairs to motor on salt spreader $ 180.00 Total $ 180.00 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 20_ Clerk-Treasurer Voucher No. Warrant No. _ Mofab Inc. Allowed 20 1415 Fairview St Anderson, IN 46016-3524 i In Sum of$ $ 180.00 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1125 237675 435000 $ 180.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 24-Jan 2013 Signature $ 180.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund J