HomeMy WebLinkAbout182241 02/17/2010 .s CITY OF CARMEL, INDIANA VENDOR: 00353173 Page 1 of 1
i`• ONE CIVIC SQUARE A F C INTERNATIONAL INC
I
t CARMEL, INDIANA 46032 PO BOX 894 CHECK AMOUNT: $363.66 715C SW "Otl DEMOTTE IN 0 463 D 10T CHECK NUMBER: 182241
CHECK DATE: 2/17/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 29741 363.66 OTHER EXPENSES
AFC International Inc Invoice
PO Box 894
715C SW Almond St
;�K,, DeMotte IN 46310 Date Invoice#
1/26/2010 29741
Bill To Ship To
Carmel Waste Water Treatment Plant Carmel Waste Water Treatment Plant
Attn Accts Payable Attn Jeff Cooper /S11948
760 Third Ave SW 9609 Hazel Dell Pkwy
Suite 110 Indianapolis IN 46280
Carmel IN 46032
P.O. No. Terms Due Date Rep Ship Via
S11948 Net 30 2/25/2010 1/26/2010 UPS
Qty Shipped B/0 Cat. No. Description Price Amount
1 1 0 90095023 58Liter 25ppm H2S, 100ppm 176.00 176.00T
CO, 50% LEL, 20.9 02, bal
Nitrogen
1 1 0 34 -413 Cal Gas 50% LEL, 50 PPM 149.60 149.60T
CO, 10 PPM H2S, Air
1 1 0 Hazardous Hazardous fee 28.00 28.00T
1 1 0 Shipping Shipping Insurance 10.06 10.06T
Charges
Tracking No
Subtotal $363.66
Thank you for your order. We appreciate your business. If you have any
questions, please contact us at 1- 800 952 -3293 or fax 219 -987 -6826. Sales Tax (0.0 $0.00
Returns subject to restocking charge. No returns will be accepted without
authorization number. Total
$363.66
VOUCHER 097328 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
29741 01- 7202 -06 $363.66
tj o, ((v
Voucher Total $363.66
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
00353173
AFC INTERNATIONAL INC Purchase Order No.
PO BOX 894 Terms
DEMOTTE, IN 46310 Due Date 2/12/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/12/2010 29741 $363.66
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and II have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer