257801 04/26/16 4+ C�g3f
v/ 4CITY OF CARMEL, INDIANA VENDOR: 00353173
® ONE CIVIC SQUARE A F C INTERNATIONAL INC CHECK AMOUNT: $*****2,110.66*
,. =q CARMEL, INDIANA 46032 PO Box 894 CHECK NUMBER: 257801
715C SW ALMOND ST CHECK DATE: 04/26/16
DEMOTTE IN 46310
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 46061 2,110.66 REPAIR PARTS
VOUCHER NO. WARRANT NO.
ALLOWED 20
A F C INTERNATIONAL INC
IN SUM OF$
PO BOX 894
715C SW ALMOND ST
DEMOTTE, IN 46310
$2,110.66
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
I 46061 I 42-370.00 I $2,110.66 1 hereby certify that the attached invoice(s), or
1120 101
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
Thursday, April 14, 2016
David Haboush
Fire Chief
Cost distribution ledger classification if
claim paid motor vehicle highway fund
rescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
m invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
/hom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
nvoice Date invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
02/24/16 I 46061 $2,110.66
$2,110.66
1120 101
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
AFC International Inc Invoice
SW Almond St ���`�5
DeMotte, IN 46310
Date Invoice#
INi TION AL. INC
2/24/2016 46061
Bill To Ship To
Carmel Fire Department Carmel Fire Department
Chuck Plumer Attn Chuck Plumer
10701 North College 2 Civic Square
Indianapolis IN 46280 Carmel IN 46032
-7777-, 7777
Due Date Rep` L Ship r° d��� Via
Verbal/Chuck Net 30 3/25/2016 2/24/2016 UPS
Qty Shipped B/O Cat. No. Description Price Amount
1 1 0 375-2611-01 Sensor EX for Sensit Gold CGI, Sensit 42.00 42.00
Gold, Sensit Gold CSE, Sensit Gold
100,.Sensit HXG-2, Sensit HXG-3,
Sensit TKX,
1 1 0 315-0800122.566 Methane/Air 2.1L 53.00 53.00
1 1 0 014-0212-000 EntryRae/QRae II/MeshGuard %LEL 149.60 149.66
replacement sensor
1 1 0 020-3606.-002-FRU Gas Plate (pack of 2)for pumped 36:00 86.00
version (3N<181-138374)
1 1 0 CO3-0950-000 Replacment Ammonia Sensor for 369.60 369.60
ToxiRae Pro
1 1 0 CO3-0078=000 Replacement Chlorine Sensor for 272.80 272.80
ToxiRae Pro, MultiRae Lite, MultiRae
and MultiRae Pro
1 1 0 T03-0001-000 SensorRae 4R+ Sensor Condtioning 396.00 396.00
Station
2. 2 0 CO3-0949-000 Replacement Hydrogen Cyanide 369.60 739,.20
Sensor for ToxiRae,Pro
1 1 0 Shipping Shipping& Insurance Charges 22.46 22.46
_UP126.e51.330373_0989,21, 2123L16_____
Rae items
1 1 0 Hazardous Hazardous fee 30.00 30.00
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 $2,110.66
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 $2,110.66
FEIN 36-3836857