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HomeMy WebLinkAbout195316 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 00353173 Page 1 of 1 ONE CIVIC SQUARE A F C INTERNATIONAL INC CHECK AMOUNT: $180.50 CARMEL, INDIANA 46032 PO BOX 694 oa z6, 715C SW ALMOND ST CHECK NUMBER: 195316 DEMOTiE IN 46310 CHECK DATE: 3/16/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUM AMOUNT DESCRIPTION 1120 4237000 32214 180.50 REPAIR PARTS AFC International Inc Invoice PO Box 894 715C SW Almond St X A1. k r DeMotte, IN 46310 Date Invoice 2/21/2011 32214 Bill To Ship To Carmel Fire Department Carmel Fire Department Gary Brandt Attn Gary Brandt 2 Civic Square 2 Civic Square Carmel IN 46032 Carmel IN 46032 P.O. No. Terms Due Date Rep Ship Via Verbal /Gary Net 30 3/23/2011 2121/2011 Federal Express Qty Shipped B/O Cat. No. Description Price Amount 1 1 0 34- 413 -18 341-iter cylinder of 50ppm CO, 144.50 144.50 10ppm H2S, 50% LEL Methane, and 18% 02 in a balance of Nitrogen 1 1 0 Hazardous Hazardous fee 28.00 28.00 1 1 0 Shipping Shipping Insurance 8.00 8.00 Charges Tracking No 029193335101872 Subtotal $180.50 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 $180.50 VOUCHER NO. WARRANT NO. AFC International ALLOWED 20 IN SUM OF P.O. Box 894 DeMotte, IN 46130 $180.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# 1 Dept. INVOICE NO, I ACCT /TITLE AMOUNT Board Members 1120 I 32214 I 42- 370.00 j $180.50 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 MAR 14 20,11 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)) 32214 $180.50 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