HomeMy WebLinkAbout188697 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 00353173 Page 1 of 1
o ONE CIVIC SQUARE A F C INTERNATIONAL INC
PO BOX 894 CHECK AMOUNT: $72.00
CARMEL, INDIANA 46032 715C SW ALMOND ST CHECK NUMBER: 188697
DEMOTTE IN 46310
CHECK DATE: 8/18/2010
DEPARTMEN ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 30893 72.00 REPAIR PARTS
AFC International Inc Invoice
PO Box 894
715C SW Almond St
,,F M AL. INC DeMotte, IN 46310 Date Invoice
7/26/2010 30893
Bill To Ship To
Carmel Fire Department Carmel Fire Department
Gary Brandt Attn Tom Small
2 Civic Square 2 Civic Square
Carmel IN 46032 Carmel IN 46032
P.O. No. Terms Due Date Rep Ship Via
Verbal /Carol Net 30 8/25/2010 7/26/2010 UPS
Qty Shipped B/O Cat. No. Description Price Amount
1 1 0 103 161 -90 103 Liter Cylinder with 90% 72.00 72.00
Oxygen
No shipping charge, mfg error
in shipping.
Mfg could not ship overnight.
Tracking No
1z3v27x00348299336
Subtotal $72.00
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
$72.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
AFC International
IN SUM OF
P.O. Box 894
DeMotte, IN 46130
$72.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
1120 30893 42- 370.00 $72.00 1 hereby certify that the attached invoice(s), or
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
AUG 1 2010
e
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
30893 $72.00
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
20
Clerk- Treasurer