HomeMy WebLinkAbout239891 12/09/14 011L
CITY OF CARMEL, INDIANA VENDOR: 00353173
ONE CIVIC SQUARE A F C INTERNATIONAL INC CHECKAMOUNT: $*-...223.60`CARMEL, INDIANA 46032 PO BOX 894 CHECK NUMBER: 239891
715C SW ALMOND ST CHECK DATE: 12/09/14
DEMOTTEIN 46310
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 42470 223.60 REPAIR PARTS
AFC International Inc Invoice
PO Box 894
715C SW Almond St
Date Invoice#
DeMotte IN 46310
IHT TION AL. INC f
12/3/2014 42470
Bill To Ship To
Carmel Fire Department Carmel Fire Department
Gary Brandt Attn Chuck Plumer
2 Civic Square 2 Civic Square
Carmel IN 46032 Carmel IN 46032
P.O. No. Terms Due Date Rep Ship . via
Verbal//chuck Net 30 1/2/2015 12/3/2014 Federal Express
Qty Shipped B/O Cat. No. Description Price Amount
1 58-413-18 (90098413) 58GAL, 50% LEL 188.70 188.70
Methane, 50 ppm CO, 10 ppm H2S,
18% 02, 58L. 24 month shelf life.
1 Hazardous Hazardous fee 28.00 28.00
1 Shipping Shipping & Insurance Charges 6.90 6.90
i
Tracking No
Thank you for your order. We appreaciate your business. If you have any questions,please contact us at
1.800.952.3293 or fax 219.987.6826. Returns subject to a restocking charge.No returns will be accepted without
prior authorization. In states other than Indiana,AFC is not registered to collect taxes. If taxes are due on this sale
you will be obliged to pay them directly to the various taxing authorities.
REMIT TO: REMIT WIRE TRANSFERS TO: Subtotal $223.60
AFC International Inc JP Morgan Chase
PO Box 894 Account# 134446783 Sales Tax(0.0%) $0.00
DeMotte IN 46310 Bank#074000010
800.952.3293 or 219.987.6825 SWIFT#CHASUS33 Total $223.60
FEIN 36-3836857
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
42470 $223.60
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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
AFC International
IN SUM OF $
P.O. Box 894
DeMotte, IN 46130
$223.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 42470 42-370.00 $223.60 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
DEC - 8 2014
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund