160225 06/10/2008 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: $146.40
715C SW ALMOND ST
CHECK NUMBER: 160225
DEMOTTE IN 46310
CHECK DATE: 6/1012008
DEPA ACCOU PO NU INVOICE NUMBER AMOUN DESCRIPTION
1120 4231100 26005 146.40 BOTTLED GAS
AFC International Inc I nvoice
PO Box 894
715C SW Almond St
1 r. K.�. DeMotte, IN 46310 Date Invoice
5/1912008 26005
Bill To Ship To
Carmel Fire Department Carmel Fire Department
Gary Brandt 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 6/18/2008 CES 5/19/2008 UPS
Qty Shipped B/O Cat. No. Description Price Amount
1 1 0 103 -301 Carbon Monoxide 110.40 110.40
50ppm /Methane 50% LEL /Air
Calibration Gas, 103L
1 1 0 Hazardous Hazardous fee 28.00 28.00
1 1 0 Shipping Shipping Insurance 8.00 8.00
Charges
Tracking No
iz77e7490348055300
Subtotal $146.40
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
$146.40
VOUCHER NO. WARRANT NO.
ALLOWED 20
AFC International
f IN SUM OF
P.O. Box 894
DeMotte, IN 46130
$146.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 26005 42- 311.00 $146.40 I 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
N� t
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))
05/19108 26005 Calibration Gas $146.40
1 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
2a
Clerk Treasurer