HomeMy WebLinkAbout300007 07/12/16 CITY OF CARMEL, INDIANA VENDOR: 003 3173
d .1• ONE CIVIC SQUARE A FINTERNATIONAL INC CHECK AMOUNT: $*******796.65*
CARMEL, INDIANA 46032 PO 80 894 CHECK NUMBER: 300007
715C W ALMOND ST CHECK DATE: 07/12/16
DEMOI TE IN 46310
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 46998 796.65 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
A F C INTERNATIONAL INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 894 IN SUM of$ 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.
$796.65 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
46998 42-370.00 $796.65 1 hereby certify that the attached invoice(s),or 7/1/16 46998 $796.65
1120 101 1120 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which—c arge is ma a were or ered and
received except
Friday,July 01,2016
U®r -
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
:A:[ AFC International: Inc f1VOICe
715C SW Almond St
DeMotte, IN 46310
Date Invoice#
INT TION AL.-INC � � � � -
6/22/2016. 46998 .
Bill To Ship To:.:
Carmel Fire Department Carmel Fire Department
Attn Denise Snyder Attn Chuck:Plumer
2 Civic Square 2 Civic Square
Carmel IN 46.032 Carmel IN 46032
•=
-.P.O. No: . . Terms D ate: Re Shi Via
Verbal/Chuck 'Net 30 7/22/2016 6/22/2016 UPS
Qty Shipped B/O .'Cat: No. Description Price ;, Amount
1 1 0 34-HCN710 (9 094700) 34GAL, Hydrogen*Cyanide 187.20 187.20
10ppm/N2 Calibration Gas, 34L. 18
month shelf.life
1 1 0" 90094701 34GAL Ammonia 50ppm/N2 187:20 187.20
C Iibrati9q Gas'.24 month Shelf Life,
1 1 0 90094746 34GAL Chlorine, 10ppm/N2 187.20 ' . . 187.20
C �libration Gas, 34L 12 month shelf
life(34-252-10).
1 1 0 CO3=0942-000 Replacement Oxygen Sensor for 191.10 191.10
T#Rae Pro,MultiRae Lite, MultiRae
anMultiRae Pro
1 1 0 Hazardous_ Haiardous fee 30.00 30.00
1 0 Shipping Sh piling& Insurance Charges - 13_.95 13.9_5
U S# 1z77e7496364457702, calgas
..1 z6e51330372242623, sensor
Tracking.No
Thank you for your order.We appreaciate your business.If you have any✓Iuestions,please contact us at
1.800.952:3293 or fax 219.987.6826.:Retums.subject to a.restocking charge.No returns will be accepted without
prior authorization.In states other than Indiana,AFC is not registered to 'ollect takes.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 0: Subtotal . $796.65. .
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" Tota I. $796.65;
FEIN 36-3836857