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228633 1/28/2014
CITY OF CARMEL, INDIANA VENDOR: 00351019 Page 1 of 1 +F ONE CIVIC SQUARE MOFAB INC. CHECK AMOUNT: $1,095.80 CARMEL, INDIANA 46032 1415 FAIRVIEW STREET roN.`o_ ANDERSON IN 46016-3524 CHECK NUMBER: 228633 CHECK DATE: 1/28/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 244307 885 . 85 OTHER EXPENSES 651 5023990 244371 209 . 95 OTHER EXPENSES 1415 FAIRVIEW ST. i ANDERSON, IN 46016-3524 ��� .PHONE(765)649-5577 4 QUALITY SINCE 1958 FAX:(765)641-1555 inowtv . INVOICE CUT PRIME RED PLASMA JDATETOSH IP STEEL BEND WELD PRIME GREY - CUTTING 0 CL '/7i�iI H U4r-,;o ,W 1�J 1 P.. W C , a l 4U074 T S CUSTOMER ORDER NO. ORDERED BY SOLD HSHIP VIA ORDER DATE 0 INVOICE DATE �2- CASH CHRG < r�r� � f'Z~/ 41 1Z/31eP CITY. B.O. DESCRIPTION UNIT PRICEMOUNT o-ZQ 12 ©d k/ 1 � D D X 1D 3 P L �"'S aamolep h op /0 X /;L ` f 4'y . I t;4• �� t Gas �.�� 3%F �Y���4��}J � . TERMS: 15%RESTOCKING PHARGE ON RETURNED MATERIALS. TAX NO BACK CHARGES WILL BE ACCEPTED WITHOUT PRIOR APPROVAL. 1 rS%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 T IS GIVEN WITHOUT CHARGE,AND WE"SHALL HAVE NO OBLIGATI OR LIABILITY FOR THE ADVICE GIVEN OR THE RESULTS VX OBTAINED.ALL SUCH ADVICE BEING GIVEN AND ACCEPTED AT BU E 'S RISK r` THANK YOU FOR ORDER. asFORWARD TO SERVING YOU AGAIN RECEIV7 "ABOVE IN GOOD CONDITION t \t DATE ORIGINAL INVOICE _._ 1415 FAIRVIEW ST. ANDERSON, IN 46016-3524 I/ 2471 P Hb N E(765)649=5577 QUALITY SINCE 1958 FAX:(765)641-1555 • INVOICE CUT PRIME RED `PLASMA DATE TO SHIP STEEL WELD BEND .. - PRIME GREY. . CUTTING S _.. S . 0- > H C tN J-��- r "P T 14 Co U� T CU TOMER ORDER N0. OR RED B SO(D By _ S IP�/IA ORDEINVOICE DATE �lc It j9 1 1CASH }� CHRG �� 17,7k _13 li 13r 113'CP QTY. B.O. 1 D/ELSCRIPTION UNIT PRICE AMOUNT Ix TERMS: 15%RESTOCKING CHARGE ON RETURNED MATERIALS. TAX NO BACK CHARGES WILL BE ACCEPTED.WITHOUT PRIOR APPROVAL. . 1X%PER MONTH OR 16%-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 SHALLAiAVE NO OBLIGATION OR LIABILITY FOR THE ADVICE GIVEN OR THE'RESULTS 12 OBTAINED,ALL SUCH ADVICE BEING GIVEN AND ACCEPTED AT BUY! 'S RISK YOU FOR THIS ORDOOK FORWARD TO SERVING YOU AGAIN RECEI THE OVE IN GOOD DATE ORIGINAL INVOICE VOUCHER # 137205 WARRANT # ALLOWED 351019 IN SUM OF $ MOFAB INC. j 1415 FAIRVIEW STREET ANDERSON, IN 46016-3524 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 244307 01-7202-06 $885.85 o2yq 3-7t o t- Soo-oa 904.95 Voucher Total $& - 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 12/30/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/30/201: 244307 $885.85 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