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City of Carmel
EachEach Sub Total
Department:Account:Fund:
21CTS-M5160X-Gas Transmitter - Carbon Monoxide 0-250 ppmlm NEMA One Visit - Performance Certification - Sta. 42, 16, CTC, 44$320.00$800.00 Page 1 of 1$1,440.00$640.00$800.00
112043-501.00101General Fund
INDIANA RETAIL TAX EXEMPT
Send Invoice To:
Q010000Wall Mount Relays
CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
Carmel Fire Department
104181
FEDERAL EXCISE TAX EXEMPT
35-6000972
2 Civic Square
THIS NUMBER MUST APPEAR ON INVOICES, A/P
ONE CIVIC SQUARE
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
CARMEL, INDIANA 46032-2584
Carmel, IN 46032-
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PLEASE INVOICE IN DUPLICATE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTIONDEPARTMENTACCOUNTPROJECTPROJECT
ACCOUNTAMOUNT
CO Detectors - Sta. 42, 46 - Calibrate All
$1,440.00
PAYMENT
8/5/202000353173
* A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
A F C INTERNATIONAL INC Carmel Fire Department
*SHIP PREPAID.
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
VENDORSHIP
PO BOX 894 2 Civic Square
*C.O.D. SHIPMENT CANNOT BE ACCEPTED.THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
TO
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
715C SW ALMOND ST Carmel, IN 46032-
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
DEMOTTE, IN 46310 -
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
Denise Snyder
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
TITLE
Accreditation/Budget Administrator
48763
104181
CONTROL NO.
CONTROLLER
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION