187204 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 363259 Page 1 of 1
ONE CIVIC SQUARE AAF INTERNATIONAL CHECK AMOUNT: $52.68
CARMEL, INDIANA 46032 24828 NETWORK PLACE
CHICAGO IL 60673 -1248 CHECK NUMBER: 187204
CHECK DATE: 7/7/2010
DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 90060836 52.68 OTHER EXPENSES
REMIT-TO: INVOICE
AAF International NUMBER
24828 Network Place 90060836
P.O.BOX 35690 Chicago, IL 60673-1248 DATE PAGE
LOUISVILLE, KY 40232 Q6/14/2010 1 of 1
PHONE 502-637-0011
FED.I13:41- 0404230 PURCHASE ORDER NUMBER
DUNS:00- 624 -9791 VRB -JEFF COOPER 6/2/10
BILL TO:
PO RELEASE
Attn: Accounts Payable SHIP TO:
CARMEL UTILITIES CITY OF CARMEL UTILITIES
760 3RD AVENUE SW 89133:1125429 SALES ORDER NUMBER
CARMEL IN 46032 42919
USA 9609 HAZEL DELL PKWY
INDIANAPOLIS IN 46280 CUSTOMER NO BILL OF LADING
USA 97027392 1000059392
TERMS DUE DATE FOB Point FREIGHT SHIP DATE SHIP VIA SHIPPING REF
NET 30 DAYS 107/14/2010 HIPPING POINT PP Add 06:14!2 ^10 EED EX GROUND 03013213235353
Invoice Notes
Job Name
Item no Part number Description Quantity Unit Extended
Ordered BackOrd Shipped Price Amount
10 358- 15 -12A1 2A POLYKLEAN BLUE PAD 12X1 2X1 12 60 0 60 0.710 42.6
SHIPPING AND HANDLING 10.08
hip Loc 0022 Date Created 06/15/2010 SUBTOTAL SHIPPING/ TAX TOTAL
HANDLING
ales Org -1000 Dist Channel 70
11 sales will be made under AAF International's standard terms and conditions of sales.In 42.60 10.08 0.00 52.68
o event will AAF International be liable fora ecial, Indirect or copse uential damn e.
\TOUCHER 105719 ,WLARRANT ALLOWED
T10697 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
90060836 01- 7202 -06 $52.68
Voucher Total $52.68
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)';
ACCOUNTS PAYA'ELE VOUCHEk a
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 6/22/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/22/2010 90060836 $52.68
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
Date Officer