HomeMy WebLinkAbout259450 06/14/16 CITY OF CARMEL, INDIANA VENDOR: 00353173
{ \I ONE CIVIC SQUARE A F C INTERNATIONAL INC CHECK AMOUNT: $*****1,941.28*
CARMEL, INDIANA 46032 PO BOX 894 CHECK NUMBER: 259450
9Mlsod � 715C SW ALMOND ST CHECK DATE: 06/14/16
DEMOTTE IN 46310
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
652 5023990 46595 1,714.93 OTHER EXPENSES
1120 .4237000 46822 226.35 REPAIR PARTS
VOUCHER # 165387 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
46595 02-2308-00 $1,714.93
Depreciation ff
Voucher Total $1,714.93
Cost distribution ledger classification if
claim paid under vehicle highway fund
AFC Internation4Inc
715C SW Almond St Invoice
DeMotte, IN 46310
Date -Invoice#
*NAI. INC - - 5/1/2016 46595
Bill To Ship To..
Carmel Waste.Water Treatment Plant Carmel Waste.Water Treatment Plant
Attn Accts Payable Attn Duane Jarvis/S16059
9609 Hazel Dell Pkwy 9609 Hazel Dell Pkwy
Indianapolis IN 46280 Indianapolis IN 46280
P.O. No. I Teems Due Date Rep Ship l Via `� I
S16059 Net 30 5/31/2016 TGD UPS
Qty Shipped B/O Cat. No. Description - Price Amount
1 1 0 1418-153 Micro IV Chlorine (0-1 Oppm)Alkaline 508.50 508.50T
Battery, Rubber Boot, and Manual
(sensor comes with:2 year warranty) _
1 1 0 1.418-165-.- Micro IV Ozone (0-1.00ppm)Alkaline 778.50 778.50T
Battery, Rubber Boot; and Manual
(sensor comes with-1 year warranty)
1 1 0 7-7'70-201"C. Calibration Adapter with tubing for 52.25 52.25T
chlorine
1 1 0 90094746 34GAL Chlorine, 10ppm%N2 187.20 187.20T
Calibration Gas, 34L 12 month'shelf
life (34-252710)
1 1 0 90005520 100-1201.0 regulator- Male, 3/16, 119.00 119.00T
preset, 1_LPM
1 1 0 Hazardous Hazardous fee 30.00 30.00T
1 1 0 Shipping _ Shipping & Insurance Charges 39.48 39.48T
UPS# 1z4587780367161994, 4/29/16,
Units
_cal gas_by_fedex-064519364149945 _-
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 $1,714.93
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
FEIN 36-3836857 Total $1,714.93
PACKING LIST
&GInstrummtation
1194 Oak Valley Drive,Suite 20
Ann Arbor,MI 48108 USA - - - -- -
Order No Date Page No
Worldwide Manufacturer of Gas Detection Solutions
154405 4/27/2016 1
Customer P/O Number
45053
Bill To AFC International, Inc. Shipped To Carmel Waste Water Treatment Plant
715C SW Almond St. 9609 Hazel Dell Pkwy
PO Box 894 Attn Duane Jarvis/S16059
DeMotte, IN 46310 Indianapolis, IN 46280
US US
Customer No Ship Date Shipping Instructions
4631 4/29/2016
cdehning@afcintl.com
Ship via: UPS Ground Ann Arbor Stock
Qty Ordered Cust Item No Item No/Description UOM Qty Packed
1 1418-153 EA
--------------------------------
Micro IV/CL2/0-10ppm
1 1418-165 ' EA
--------------------------------
Micro IV/03/0-1ppm 1
1 7770-201C EA
Adapter, Calibration/Micro IV
with 1 ft of Teflon tubing
Total Qty Ordered 3.00 Total Qty Packed =��
PACKING', LIST
i
1202 E Sam Houston Parkway S, Pasadena,
PORTATX
Phone:e:(8(800)548 2268 Fax:(713)928 9961
by Praxair
Customer Name: AFC International Inc. Bill To: P.O. Box 894
PO No: 45054 DeMotte IN 46310
Work Order No: 3423583600
Work Order Date: 27-Apr-2016 Ref#: Duane Jarvis/S16059
Ship Via: FEDEX Ground Service Ship To:Carmel Waste Water Treatment Plant
Terms: 30 Days 9609 Hazel Dell Pkwy.
Indianapolis IN 46280
Item Part No Part Description Cylinder Size Qty I Qty
I Ordered Shipped
1 190094746 CHLORINE PPM 10, NITROGEN BALANCE 34GAL 1 1
Lot No: 992183
Your Part No: 34-252-10
2 90005520 f'IREGULATOR 100-12P1.0~Lot No: 1675481
Your Part No:
Page 1 of 1
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
A F C INTERNATIONAL INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 894 IN SUM OF$ 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.
$226.35 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
46822 42-370.00 $226.35 1 hereby certify that the attached invoice(s),or 6/7/16 46822 $226.35
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,June 07,2016
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
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
AFC International Inc Invoice
SW Almond St
DeMotte, IN 46310
Date Invoice#
T TIO
INNAL. INC
5/26/2016 46822
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: �� Terms Due Date I Rep Ship Via
Verbal/Chuck _ Net 30 6/25/2016 5/26/2016 ___111LLL UPS
Qty Shipped B/O Cat. No. Description Price Amount
1 1 0 022-0300-000 Oxygen SPE sensor, 2yr for QRae II 163.80 163.80
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,
.SensitTKX,
1 1 0 Shipping Shipping & Insurance Charges 20.55 20.55
UPS# lz6e51330372214341, 5/26/16,
02 sensor
UPS# lz4318720356887946, 5/26/16,
Sensit sensor
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 $226.35
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 $226.35
FEIN 36-3836857