HomeMy WebLinkAbout252524 12/15/15 CITY OF CARMEL, INDIANA VENDOR: 00353173
® i ONE CIVIC SQUARE A F C INTERNATIONAL INC CHECK AMOUNT: $**.....206.10*
CARMEL, INDIANA 46032 PO BOX 894 CHECK NUMBER: 252524
•M.roN,�` 715C SW ALMOND ST CHECK DATE: 12/15/15
DEMOTTEIN 46310
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 45327 206.10 OTHER EXPENSES
AFC International Inc ���®���
PO Box 894
715C SW Almond St
INi A TIONAL. INC DeMotte, IN 46310 Date Invoice#
12/2/2015 45327
Bill To Ship To
Carmel Waste Water Treatment Plant Carmel Waste Water Treatment Plant
Attn Accts Payable Attn Duane Jarvis/S15634
9609 Hazel Dell Pkwy 9609 Hazel Dell Pkwy
Indianapolis IN 46280 Indianapolis IN 46280
�J
P.O. No: Terms _ Due Date Rep Ship via '
S15634 Net 30 1/1/2016 TGD 12/2/2015 UPS
Qty Shipped lk B/O Cat. No. Description Price Amount
2_ 2 0 008-3022-010 Water Trap Filter w/o adapter, pk/10 27.00 54.00T
90310018 20.8% Oxygen/N2 Calibration Gas, 95.20 95.20T
103L
1 1 0 Hazardous Hazardous fee 30.00 30.00T
1 1 0Shipping Shipping & Insurance Charges _ 26.90 26.90T
1z891ar30370524_179, 11/30/15,Filters
FedEx#064519364,133586, 12/02%15.
- - - = - - -
gas--
Tracking
as-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 $206.10
AFC International Inc JP Morgan Chase
PO Box 894 Account# 134446783 Sales Tax $0.00
DeMotte IN 46310 Bank#074000010
800.952.3293 or 219.987.6825 SWIFT#CHASUS33 Total $206.10
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 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 12/9/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/9/2015 45327 $206.10
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
VOUCHER # 156839 WARRANT # ALLOWED
00353173 IN SUM OF $
AFC INTERNATIONAL INC
PO BOX 894
DEMOTTE, IN 46310
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
45327 01-7200-01 $206.10
Voucher Total $206.10
Cost distribution ledger classification if
claim paid under vehicle highway fund