155626 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 00353173 Page 1 of 1
ONE CIVIC SQUARE A F C INTERNATIONAL INC CHECK AMOUNT: $392.14
CARMEL, INDIANA 46032 PO Box 894
715C SW ALMOND ST CHECK NUMBER: 155626
DEMOTTE IN 46310
CHECK DATE: 1/2312008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 25049 392.14 25049
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AFC International Inc f��
PO Box 894
715C SW Almond St
K r�oa., DeMotte, IN 46310 Date Invoice#
1/2/2008 25049
Bill To Ship To
Carmel Waste Water Treatment Plant Carmel Waste Water Treatment Plant
Attn Accts Payable Attn PO# S10942
9609 Hazel Dell Pkwy 9609 Hazel Dell Pkwy
Indianapolis IN 46280 Indianapolis IN 46280
P.O. No. Terms Due Date Rep Ship Via
S10942 Net 30 2/1/2008 KES 1/2/2008 UPS
Qty Shipped B/O Cat. No. Description Price Amount
1 1 0 008 -1161 -000 Oxygen Sensor for Rae Gas 120.00 120.00T
Detectors
1 1 0 016- 1171 -000 LEL Sensor for QRae Plus 195.00 195.00T
1 1 0 90 -90001 QRae Repair, New 02 LEL 65.00 65.00T
sensors and calibration
s/n 150 403097
1 1 0 Shipping Shipping Insurance 12.14 12.14T
Charges
Tracking No
1Z891ar30365019458
Subtotal $392.14
Thank you for your order. We appreciate your business. If you have any Sales Tax (0.0
questions, please contact us at 1 -800- 952 -3293 or fax 219 987 -6826. $0.00
Returns subject to restocking charge. No returns will be accepted without
authorization number. Total
$392.14
VOUCHER 077081 WARRANT ALLOWED
00:53173 IN SUM OF
=AFC INTERNATIONAL INC
PO BOX 894
bEMOTTE, IN 46310
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
25049 01- 7202 -06 $315.00
25049 01- 7362 -06 $65.00
25049 01- 7202 -06 $12.14
Voucher Total $392.14
s
,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 1/9/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/9/2008 25049 $392.14
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer