HomeMy WebLinkAbout224043 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 00351019 Page 1 of 1
0 ONE CIVIC SQUARE MOFAB INC.
CARMEL, INDIANA 46032 1415 FAIRVIEW STREET CHECK AMOUNT: $164.70
ANDERSON IN 46016-3524
CHECK NUMBER: 224043
CHECK DATE: 9/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 241982 - 164 . 70 OTHER EXPENSES
1415 Fi dRVIEW ST.
ANDERSON, IN 46016-3524
< PHONE(765)649-5M �2 1 2
QUALITY SINCE 1958 y' FAX:(765)641-1555
INVOICE
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NO CASH CHRG � r � _
OTY. B.O. DESCRIPTION V` UNIT PRICE AMOUNT J
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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. OTAL
MOFAB,INC.IS NOT AN ENGINEERING FIRM AND ANY TECHNICAL ADVICE WE FURNISH WITH RESPECT TO THE USE OF MATERIAL / O
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 1 ORDER. 11
RECEIVED THE ABOVE IN =C
G O ITI
X � e
•Li�C./`� 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 9/4/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/4/2013 241982 $164.70
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 it
Date Officer
VOUCHER # 136284 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
241982 01-7202-06 $164.70
Voucher Total $164.70
Cost distribution ledger classification if
claim paid under vehicle highway fund