HomeMy WebLinkAbout225467 10/23/2013 *f CITY OF CARMEL, INDIANA VENDOR: 00351019 Page 1 of 1
ONE CIVIC SQUARE MOFAB INC.
CARMEL, INDIANA 46032 1415 FAIRVIEW STREET CHECK AMOUNT: $107.20
ANDERSON IN 46016-3524 CHECK NUMBER: 225467
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 242886 107 .20 TRANSPORTATION EXPENS
1415 FAIRVIEW ST. /
ANDERSON, IN 46016-3524
PHONE(765)649-5577
..QUALITY SINCE 1958 FAX:(765)641-1555
PLEASE PAY I • t� IN�/OICE.
IVI
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PRIME GREY CUTTING "
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CUSTOMER ORDER NO. 12�EREI)r, tD Y P VI ER DATE I VOICE DAT
CASH 1 CHRG !�5���
OTY. B.O. I DE IPTION UNIT PRICE AMOUNT
10-7
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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. 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 YdU FOR THIS ORDER.WE LOOK
. RECEIVED THE ROVE IN D C DI'170N
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 10117/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/17/201, 242784 $349.84
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 # 136647 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
=242784 01-7500-02 -,-$349:84 --
a�lag$6 0( -"7S6o-t)a x10-7,ao
y 5-7,oL(
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund