240915 01/13/15 CITY OF CARMEL, INDIANA VENDOR: 00353173
\I ONE CIVIC SQUARE A F C INTERNATIONAL INC CHECK AMOUNT: S"'"'«348.28'
CARMEL, INDIANA 46032 PO Box 894 CHECK NUMBER: 240915
9 (10N � 715C SW ALMOND ST CHECK DATE: 01/13/15
DEMOTTEIN 46310
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 42590 348.28 OTHER EXPENSES
AFC International Inc Invoice
Box 894
715C SW Almond St
INT TIO NAL. INC DeMotte, IN 46310 Date Invoice#
12/18/2014 42590
Bill To Ship To
Carmel Waste Water Treatment Plant Carmel Waste Water Treatment Plant
Attn Accts Payable Attn Jeff Cooper/S14650
760 Third Ave SW 9609 Hazel Dell Pkwy
Suite 110 Indianapolis IN 46280
Carmel IN 46032
P.O. No. Terms F Due Date: Rep Ship, Via
S14650 Net 30 1/17/2015 TGD 12/18/2014 UPS
Qty Shipped 11 B/O Cat. No. - v Description Price Amount
2 2 0 90-90001 QRae II repair, s/n 181-100961. Needs 75.00 150.00T
new pump(p/n 020-3603-000),
installed new pump and calibrated. s/n
181-119711, Cleaned pump and
calibrated.
1 1 0 020-3603-000 QRAE Two Pump Assembly 189.00 189.00T
1 1 0 Shipping Shipping & Insurance Charges 9.28 9.28T
Case#201409-5617, s/n 181-119711,
Cert. #2014-05202
Case#201409-5636, s/n 181-100961,
Cert. #2014-05203
UPS# 1z891ar30372085622
Tracking No 1z891ar30372085622
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 $348.28
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 $348.28
FEIN 36-3836857
VOUCHER # 146353 WARRANT # ( ALLOWED
00353173 , IN SUM OF $
AFC INTERNATIONAL INC
PO BOX 894
DEMOTTE, IN 46310
,I
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
i
r
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
42590 01-7202-06 $348.28 `
.'1
I
4
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fl
1
Voucher Total $348.28
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
00353173
AFC INTERNATIONAL INC Purchase Order No.
PO BOX 894 Terms
DEMOTTE, IN 46310 Due Date 12/30/2014
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) Amount
12/30/201, 42590 $348.28
I
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