249160 09/09/15 CITY OF CARMEL, INDIANA VENDOR: 00353173
® ONE CIVIC SQUARE A F C INTERNATIONAL INC CHECK AMOUNT: S*******309.80*
a° CARMEL, INDIANA 46032 PO Box 894 CHECK NUMBER: 249160
715C SW ALMOND ST CHECK DATE: 09/09/15
DEMOTTEIN 46310
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 44478 309.80 REPAIR PARTS
A [ AFC International Inc ���®���
PO Box 894
715C SW Almond St
INi RN TION AL. INC DeMotte, IN 46310 Date Invoice#
8/19/2015 44478
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
=DueDate Rep Ship. Via
Verbal/Chuck Net 30 9/18/2015 8/19/2015 UPS
Qty, Shipped B/b, I Cat. No. Description Price Amount
2 2 0 014-0212-000 EntryRae/QRae II/MeshGuard %LEL 149.60 299.20
replacement sensor
1 1 0 Shipping Shipping & Insurance Charges 10.60 10.60
Tracking No 1z6e5130371603824
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 $309.80
AFC International Inc JP Morgan Chase
PO Box 894 Account# 134446783 Sales Tax(0.0%) $0.00
I� DeMotte IN 46310 Bank#074000010
800.952.3293 or 219.987.6825 SWIFT#CHASUS33 T
FEIN 36-3836857 e ®ta I $309.80
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))
44478 $309.80
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
AFC International
IN SUM OF $
P.O. Box 894
DeMotte, IN 46130
$309.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 44478 42-370.00 $309.80 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund