HomeMy WebLinkAbout218557 03/25/2013 `'^*F CITY OF CARMEL, INDIANA VENDOR: 00351019 Page 1 of 1
gi. ONE CIVIC SQUARE MOFAB INC. CHECK AMOUNT: $150.82
CARMEL, INDIANA 46032 1415 FAIRVIEW STREET
�• o�.� ANDERSON IN 46016-3524 CHECK NUMBER: 218557
CHECK DATE: 3/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 239020 150 . 82 OTHER EXPENSES
1415 FAIRVIEW ST.
'��•: ANDERSON, IN 46016.3524 C
PHONE,(765).649-5577 : 23. QZ
QUALITY SINCE 1958 FAX:(765)641 1555
INVOICE
STEEL CUT ; PRIME RED PLASMA DATE TO SHIP_ ��. l
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BEND X PRIME GREY TTQ UTTING
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CUSTOMER ORDER NO. ORDERED BY ` S0LDNBY SHIP,'VIA!XV ORDER`DATE INVOICE DATE
CASH CHRIS SHI c 1 �_ CAP
QTY. B.O. DESCRIPTION �� - �p UNIT PRICE AMOUNT
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TERMS:"15%RESTOCKING CHARGE ON RETURNED MATERIALS. J
NO BACK CHARGES WILL BE ACCEPTED WITHOUT PRIOR APPROVAL: f� TAX
1 h%PER MONTH-OR 18%ANNUAL SERVICE CHARGE FOR ALLINVO16ES OVER 30 DAYS.
MOFAB,INC IS NOT AN ENGINEERING FIRM AND ANY TECHNICAL ADVICE WE-FURNISH WITH RESPECT TO THE USE OF-MATERIAL 1 ' TOTAL
IS GIVEN WITHOUT CHARGE,AND WE SHALL HAVE NO OBLIGATION OR LIABILITY FOR THE ADVICE GIVEN OR THE RESUL'T$'�! °; , 6
OBTAINED,ALL SUCH ADVICE BEING GIVEN AND ACCEPTED AT BUYER'S RISK. �l
RECEIVED THE ABOVE IN_GOO6/CjjO II��611TIO114J///
DATE _
ORIGINAL INVOICE
VOUCHER # 135164 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
239020 01-7200-02 $150.82
I
Voucher Total $150.82 {
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 3/20/2013
Invoice invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/20/2013 239020 $150.82
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