157833 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 00353173 Page 1 of 1
ONE CIVIC SQUARE A F C INTERNATIONAL INC
CARMEL, INDIANA 46032 PO BOX 894 CHECK AMOUNT: $25.45
715C SW ALMOND ST CHECK NUMBER: 157833
DEMOTTE IN 46310
CHECK DATE: 411/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 .25570 25.45 OTHER EXPENSES
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AFC International Inc Invoice
PO Box 894
715C SW Almond St
DeMotte, IN 46310 Date Invoice#
3/11/2008 25570
Bill To Ship To
s Carmel Waste Water Treatment Plant Carmel Waste Water Treatment Plant
Attn Accts Payable Attn PO #Verbal /Jeff
9609 Hazel Dell Pkwy 9609 Hazel Dell Pkwy
Indianapolis IN 46280 Indianapolis IN 46280
P.O. No. Terms Due Date Rep Ship Via
Verbal /Jeff Net 30 4/10/2008 KES 3/11/2008 UPS
Qty Shipped B10 Cat. No. Description Price Amount
1 1 0 008 3022 -010 Water Trap Filter w/o 20.00 20.00T
adapter, pk /10
1 1 0 Shipping Shipping Insurance 5.45 5.45T
Charges
Tracking No
I z89 I ar30365850344
Subtotal $25.45
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 $25.45
VOUCHER 085107 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
25570 01- 7202 -06 $25.45
Voucher Total $25.45
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 3/18/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/18/2008 25570 $25.45
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
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Date Officer