245725 06/03/15 CITY OF CARMEL, INDIANA VENDOR: 00353173
ONE CIVIC SQUARE A F C INTERNATIONAL INC CHECK AMOUNT: $*******435.75*
CARMEL, INDIANA 46032 PO BOX 694 CHECK NUMBER: 245725
715C SW ALMOND ST CHECK DATE: 06/03/15
F cro"°O DEMOTTE IN 46310
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 43458 237.62 OTHER EXPENSES
1120 4237000 43733 37.91 REPAIR PARTS
1120 4237000 43810 160.22 REPAIR PARTS
AFC International Inc Invoice
PO Box 894
715C SW Almond St
IHi TION At. INC
DeMotte, IN 46310 Date Invoice#
4/24/2015 43458
Bill To Ship To
Carmel Waste Water Treatment Plant Carmel Waste Water Treatment Plant
Attn Accts Payable Attn Duane Jarvis/S14981
760 Third Ave SW 9609 Hazel Dell Pkwy
Suite 110 Indianapolis IN 46280
Carmel IN 46032
{ P.O:No. Terms' Due.Date '" Rep Ship Viae
S14981 Net 30 , V 5/24/2015 TGD, 4/24/2015 UPS
QtyShipped B/O.. Cat:No. Description Price Amount.
1 1 0 90-90001 QRae II Calibration, s/n 75.00 75.00T
181-119711.Needs new LEL
sensor(p/n 014-0212-000) Case#
201503-6086. Cert.#2015-0124
1 1 0 014-0212-000 EntryRae/QRae II/MeshGuard %LEL 153.00 153.00T
replacement sensor
1 1 0 Shipping Shipping & Insurance Charges 9.62 9.62T
Tracking No lz891ar30371222001
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 $237.62
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 $237.62
FEIN 36-3836857
VOUCHER # 155595 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
i Board members
i
PO# INV# ACCT# AMOUNT Audit Trail Code
43458 01-7200-02 $ 2
1
.i
�I
Voucher Total $237.62
Cost distribution ledger classification if
claim paid under vehicle highway fund
f
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 5/28/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/28/2015 43458 r $237.62
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
AFC International Inc Invoice
Box 894
715C SW Almond St
1 N T TI O N AL. INC DeMotte, IN 46310 Date Invoice#
5/11/2015 43733
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
f P:O. No. � Terms Due Date; Rep Ship Via I
_ Vebal/Greg Net 30 6/10/2015 5/11/2015 UPS J
Qty Shipped B/O L.No. �L Description Price', Arhount
1 1 0 1008-3022-010 Water Trap Filter w/o adapter, pk/10 30.00 30.00
1 1 0 Shipping Shipping & Insurance Charges 7.97 7.97
Tracking No 1z891ar30370282814
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 $37.97
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 $37.97
FEIN 36-3836857
AFC International Inc Invoice
PO Box 894
715C SW Almond St
INT TI O N At. INC DeMOtte, IN 46310 Date - Invoice#
5/20/2015 43810
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
Terrus, Due Date', Rep, L hip.
----------------
Verbal/Chuck Net 30 1 6/19/2015 5/20/2015 UPS
Qty: j Shipped B/O' Cat. No. Description Price Amount
1 1 0 014-0212-000 EntryRae/QRae II/MeshGuard %LEL 149.60 149.60
replacement sensor
1 1 0 Shipping Shipping & Insurance Charges 10.62 10.62
Tracking No llz6e5l330371591507
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 $160.22
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#CI-IASUS33 Total $160.22
FEIN 36-3836857
VOUCHER NO. WARRANT NO.
ALLOWED 20
AFC International
` IN SUM OF$
P.O. Box 894
DeMotte, IN 46130
$198.13
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 43810 42-370.00 $160.22 1 hereby certify that the attached invoice(s), or
1120 43733 42-370.00 $37.91 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 JUN
- 1 2015
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor 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 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))
43810 $160.22
43733 $37.91
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
, 20
Clerk-Treasurer