181781 02/03/2010 r CITY OF CARMEL, INDIANA VENDOR: 363259 Page 1 of 1
i` ONE CIVIC SQUARE AAF INTERNATIONAL
k CARMEL, INDIANA 46032 1067 SOLUTIONS CENTER CHECK AMOUNT: $366.00
CHICAGO IL 60677 -1000 CHECK NUMBER: 181781
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 345036 366.00 OTHER EXPENSES
.1 Invoice
REMIT TO AAF INTERNATIONAL NUMBEF
,1 w T e.a x G no u n a. 1067 SOLUTIONS CENTER 345036
P.O. BOX 35690 CHICAGO, IL 60677 -1000
LOUISVILLE, KY 40232 FED. ID. EIN 41- 040 -4230 DATE PAGE
PHONE: 1-888-223-2003 DUNS 00-624-9791 22- JAN -10 1 of 1
PURCHASE ORDER NUMBER
S11899
BILL TO SHIP TO PO RELEASE4
Attn: Accounts Payable CARMEL UTILITIES
CARMEL UTILITIES CITY OF CARMEL UTILITIES
760 3RD AVENUE SW 9609 HAZEL DELL PKWY SALES ORDER NUMBER
INDIANAPOLIS, IN 46280 192874
CARMEL, IN 46032
CUSTOMER NC Bill of Lading
97027392 000001
TERMS I DUE DATE FOB Point FREIGHT SHIP DATE SHIP VIA SHIPPING REF.
NET 30 DAYS J I 21- FEB -10 SHIP POINT FREIGHT ADD 27 NOV UNITED PARCEL NIA
TEM QUANTITY EXTENDED
NO Part Number Description TAX UNIT PRICE
ORDERED BACK'ORG. SHIPPED AMOUNT
1 399 035 -005 DETAILED DESCRIPTION SIZE
IZE 1 0 1 341.00 341.00
SAAFVent 20 Filter
2 SHIPPING AND HANDLING 0 0 1 25.00 25.00
Tax Summary By Tax Code
Tax LOCATION B 0.00 Customer Exemption. 100,00% 0.00
I
SHIP LOC 79 SHIPP[NGI
SUBTOTAL TAX HANDLING TOTAL
1
All sales will be made under AAF tnternationat's standard terms 341.00 0.00 25.00 366.00
and conditions of sales. In_no event will AAF International be
l iable for special, indirect or consequential damage.
Lq,. Lr I: L., f,.,.d6,...L L,,. r. L D/,
VOUCHER 097233 WARRANT ALLOWED
T0697 IN SUM OF$
AAF INTERNATIONAL
1067 SOLUTIONS CENTER
CHICAGO, IL 60677
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
345036 01- 7200 -03 $341.00
345036 01- 7200 -03 $25.00
Ct()
Voucher Total $366.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
T0697
AAF INTERNATIONAL Purchase Order No.
1067 SOLUTIONS CENTER Terms
CHICAGO, IL 60677 Due Date 1/28/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)), Amount
1/28/2010 345036 $366.00
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
hg, C r
Date Officer