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Home My WebLink About304452 10/31/16 ! - CITY OF CARMEL, INDIANA VENDOR: 00353173 ® ONE CIVIC SQUARE A F C INTERNATIONAL INC CHECK AMOUNT: $******"623.69" :9 ?� CARMEL, INDIANA 46032 PO BOX 894 CHECK NUMBER: 304452 Mlrtie.co� 715C SW ALMOND ST CHECK DATE: 10/31116 DEMOTTEIN 46310 DEPARTMENT ACCOUNT. PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 47758 155.00 REPAIR PARTS 1120 4237000 47912 468.69 REPAIR PARTS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER A F C INTERNATIONAL INC PO BOX 894 IN SUM OF$ 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. $155.00 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 47758 42-370.00 $155.00 1 hereby certify that the attached invoice(s),or 10/11/16 47758 $155.00 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 Thursday, October 13,2016 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 A:[. 715C SW Almond St 'Invoice DeMotte,IN 46310 Date Invoice# 9/23/2016 47758 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.Q: No. Terms D D Re via'_ Rep'. Shi p _ Li . ` Verbal/Chuck Net 30 10/23/2016 9/23/2016 UPS Qty' _ Shipped BIO Cat:-No Description : Price Amount E 1 1 0 10144555 100GAL Carbon Monoxide 120.00 . 120.00 100ppm/Methane 50% LEL/Air Calibration Gas, 103E (103-304) 1 1 0 Hazardous. Fiazardousfee. " 30:00 ' 1 1 0 Shipping Shipping & Insurance Charges 5.00 5.00 Tracking No 1z77e7490365993130 Thank you for your order.We appreaciate your business.If you have any questions,please contact us`at 1.800.952:3293 or fax 2.19.987.6826.: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 $155.00 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. $155.00 FEIN 36-3836857 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) A F C INTERNATIONAL INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 894 IN SUM OF$ 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. $468.69 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 47912 42-370.00 $468.69 1 hereby certify that the attached invoice(s),or 10/24/16 47912 $468.69 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 Monday, October 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 A [ AFC International-Inc Invoice715C SW Almond St -, DeMotte, IN 46310 Date Invoice# INT TION AL. INC - - 10/13/2016 47912 . . 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 $ Due Date E RepShi Via verbal Net 30 11/12/2016 10/13/2016 UPS Qty Shipped ; :'B/O Cat:No -` `; Description' Price Amount 2 2 0 014-0212-000 EntryRae/QRae II/MeshGuard %LEL 149.60 299.20 replacement sensor 1 A. 0 022-000-w000 Oxygen SFE:sensor, 2yr for QRae II 158.40 15.8,40 1 1 0 Shipping Shipping & Insurance Charges 11.09 11.09 Tracking No ilz6e5l330371376802 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 riot 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 $468.69 AFC International Inc JP Morgan Chase PO Box 894 Account# 134446783 Sales Tax(0.0%) $0.00 DeMotte IN 46310 Bank#074000010 800.952.3293 or 219.987.6825 SWIFT#CHASUS33 FEIN 36-3836857 Total $468.69