HomeMy WebLinkAbout258898 05/31/16 CITY OF CARMEL, INDIANA VENDOR: 00353173
j ® ;• ONE CIVIC SQUARE A F C INTERNATIONAL INC CHECK AMOUNT: $*******213.45*
CARMEL, INDIANA 46032 PO Box 894 CHECK NUMBER: 258898
9M�roN�, 715C SW ALMOND ST CHECK DATE: 05/31/16
DEMOTTEIN 46310
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 46722 213.45 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
A F C INTERNATIONAL INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 894 IN SUM OF$ CITY OF CARMEL
715C SW ALMOND ST An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
DEMOTTE, IN 46310 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$213.45 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
46722 42-370.00 $213.45 1 hereby certify that the attached invoice(s),or 5/23/16 46722 $213.45
1120 101 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
Tuesday, May 24,2016
David Haboush
Fire Chief
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
AFC International Inc
715C SW Almond St Invoice
.
DeMotte, IN 46310
Date Invoice#
INT 710NAi_ INC � � -
5/16/2016 46722 .
Bill To Ship To. .
Carmel Fire Department Carmel Fire Department
Attn Denise Snyder Attn Chuck Plumer-
2 Civic Square 2 Civic Square -
Carmel IN 46032 Carmel IN 46032
`P.O. No., . I Tums Due Date Rep Ship via
Verbal/Chuck Net 30 6/15/2016 5/16/2016•���JJJi_ _ UPS •���___]]]
Qty ,Shipped ., 'B/O Cat:No. Description., Price Amount
1 1 0 020-3402-000 Re-chargeable Lithium-ion battery 1.65.60 165.60
_1 1 0 020-3605-002-FRU Gas Plate(pack of.2)for pumped 36.80 36.80
version (SN<18,1-138374), -
1 1 0 Shipping Shipping & Insurance Charges 11.05 11.05
Tracking No 1z6e51330372445208
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 $213.45
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 $213.45"
FEIN 36-3836857