HomeMy WebLinkAbout218164 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 00351019 Page 1 of 1
` ONE CIVIC SQUARE MOFAB INC. CHECK AMOUNT: $931.12
CARMEL, INDIANA 46032 1415 FAIRVIEW STREET
ANDERSON IN 46016-3524 CHECK NUMBER: 218164
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 238427 931 . 12 OTHER EXPENSES
J t 1415 FAIRVIEW ST. /
ANDERSON, IN 46016-3524 (/
PH ON E(765)649-5577
238
auaiiry SINCE 1958 FAX:(765)641-1555
1 PLEASE PAN FRONITHIS INVOICE-NLT30 DAYS INVOICE
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CUSTOMER!ORDER NO. O DERED BV b SOLD BY �" SHIP�VIJ'A DI, ORDER DATE INVOICE DATE
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OTY. 'B.O. \ (J'U DESCRIPTION l UNIT PRICE AMOUNT
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TERMS: 15%RESTOCKING CHARGE ON RETURNED MATERIALS. TAX
NO BACK CHARGES WILL'BE ACCEPTED WITHOUT PRIOR APPROVAL. n
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 r
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 THIS ORDER.WE LOOK i TO SERVING YOU AGAIN
A.
RECEIVED THE�ABOVE IN GOOD CONDITION ��J
3!.�'y DATE
ORIGINAL INVOICE
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 3/7/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/7/2013 238427 $931.12
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
Date Officer
VOUCHER # 135065 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
238427 01-7202-06 $931.12
Voucher Total $931.12
Cost distribution ledger classification if
claim paid under vehicle highway fund