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Home My WebLink About226755 12/03/2013 F CITY OF CARMEL, INDIANA VENDOR: 00351019 Page 1 of 1 ONE CIVIC SQUARE MOFAB INC. CHECK AMOUNT: $81.58 CARMEL, INDIANA 46032 1415 FAIRVIEW STREET ANDERSON IN 46016-3524 CHECK NUMBER: 226755 CHECK DATE: 12/3/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 243657 81 . 58 OTHER EXPENSES x 1415 FAIRVIEW ST.ANDERSON, IN.46016=3524 /2* � PHON E(765)649-5577 QUALITY SINCE 1958 - FAX:-(765j 641-1555.- PLEASE PAY ' -INVOICE- CUT = PRIME RED PLASMA ' DATE TO SHIP r STEEL - ` BEND WELD PRIME GRI51y CUTTING: . -- r�low�: o © � � 1 ;,lad H r r , �/ 131 S*" (ST- C) �P mss_► rz '` _ i T I L Ij 4(D074 T O O CUSTOMER ORDER NO. ORDERED BY SOLD BY SHIP VIA ORDER D E INVOICE DATE-\ J� CASH CHRG Yu 1,f�} i\ \� � 1 VV OTY. B.O. DESCRIPTION UNIT PrRICE AMOUNT L TERMS: 15%RESTOCKING CHARGE ON RETURNED MATERIALS. TAX NO BACK CHARGES;WILL BE ACCEPTED WITHOUT PRIOR APPROVAL. _ 1%*k 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 THAN K YOUFOR THIS e R.D ER.WE I LbOK FORWARD RECEIVED T ABOVE N GOO/CO DITION i DATE . ORIGINAL INVOICE VOUCHER # 136900 WARRANT # ALLOWED 351019 IN SUM OF $ MOFAB INC. 1415 FAIRVIEW STREET ANDERSON, IN 46016-3524 i Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR d Board members i PO# INV# ACCT# AMOUNT i Audit Trail Code 243657 01-7202-06 $81.58 i i } 1 ( Voucher Total $81.58 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 11/26/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/26/201.' 243657 $81.58 1 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