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Home My WebLink About202896 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 00353173 Page 1 of 1 ONE CIVIC SQUARE A F C INTERNATIONAL INC CHECK AMOUNT: $931.06 CARMEL, INDIANA 46032 PO BOX 894 715C SW ALMOND ST CHECK NUMBER: 202896 DEMOTTE IN 46310 CHECK DATE: 10/2512011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4467004 33724 224.00 HAZARDOUS MATERIALS 102 4467004 33743 142.60 HAZARDOUS MATERIALS 102 4467004 33746 564.46 HAZARDOUS MATERIALS AFC International Inc I nv oice Box 894 715C SW Almond St I N T I FTI N AL. 1 N C DeMotte, IN 46310 Date Invoice 10/4/2011 33724 Bill To Ship To Carmel Fire Department Carmel Fire Department Gary Brandt Attn Gary Carter 2 Civic Square 2 Civic Square Carmel IN 46032 Carmel IN 46032 P.O. No. Terms Due Date Rep Ship Via Verbal /Gary Carter Net 30 11/3/2011 10/4/2011 UPS Qty Shipped B/O Cat. No. Description Price Amount 1 1 0 34- HCN -10 Hydrogen Cyanide 10ppm /Nitrogen 187.00 187.00 Calibration Gas, 34L 1 1 0 Hazardous Hazardous fee 28.00 28.00 1 1 0 Shipping Shipping Insurance Charges 9.00 9.00 Tracking No 1z3v27x00349748509 Subtotal $224.00 Thank you for your order. We appreaciate your business. If you have any questions, please Sales Tax contact us at 1.800.952.3293 or fax 219.987.6826. Returns subject to a restocking charge. No $0.00 returns will be accepted without prior authorization. In states other than Indiana, AFC is not registered to collect taxes. If taxes are due on this sale you will be obliged to pay them Total directly to the various taxing authorities. $224.00 AFC International Inc Invoice Box 894 715C SW Almond St I N N A L. 1 N C DeMotte, IN 46310 Date Invoice 10/4/2011 33743 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 11/3/2011 10/4/2011 Federal Express Qty Shipped B/O Cat. No. Description Price Amount 1 1 0 103 -301 Carbon Monoxide 50ppm /Methane 105.60 105.60 50% LEL /Air Calibration Gas, 103L 1 1 0 Hazardous Hazardous fee 28.00 28.00 1 1 0 Shipping Shipping Insurance Charges 9.00 9.00 Tracking No 029193335189870 Subtotal $142.60 Thank you for your order. We appreaciate your business. If you have any questions, please Sales Tax ��.0 contact us at 1.800.952.3293 or fax 219.987.6826. Returns subject to a restocking charge. No $0.00 returns will be accepted without prior authorization. In states other than Indiana, AFC is not registered to collect taxes. If taxes are due on this sale you will be obliged to pay them Total directly to the various taxing authorities. $142.60 AFC International Inc Invoice Box 894 715C SW Almond St I N I I F.,: N 4L. I N r; DeMotte, IN 46310 Date Invoice 10/13/2011 33746 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 11/12/2011 10/13/2011 UPS Qty Shipped B/O Cat. No. Description Price Amount 1 1 0 010 0001 -000 Tube Hand Pump, kit includes 171.60 171.60 50 -100mL Piston Hand Pump, spare inlet filters (2), spare rubber inlet, spare plunger gasket, and carrying case 1 1 0 10- 100 -05 Rae Colorimetric tube for Ammonia, 29.92 29.92 1- 30ppmv, extended range .5- 60ppmv 1 1 0 10- 100 -40 Rae colorimetric tubes for Ammonia, 29.92 29.92 1 -15 extended range .5 -30% 1 1 0 10- 100 -10 Ammonia Detector Tube, pk /10, range 29.92 29.92 5- 100ppm, extended range 2.5- 200ppmv 1 1 0 10- 121 -05 Formaldehyde tubes .1- 5ppmv, 29.92 29.92 extended range .1- 40ppmv 1 1 0 10- 106 -10 Chlorine tubes .5- 8ppmv, extended 29.92 29.92 range .25- 16ppmv 1 1 0 10- 106 -20 Chlorine tubes 5- 100ppmv, extended 29.92 29.92 range 2.5- 200ppmv 1 1 0 010 0004 -000 Smoke Kit (aspirator bulb, tip breaker, 49.28 49.28 box smoke tubes, leather case.) 1 1 0 10- 111 -40 Rae Colorimetric tube for Acetone 29.92 29.92 0.1 -2% 1 1 0 10- 102 -45 Carbon MonO�aa -#6 e@J92 -4 29.92 29.92 o PMv lz6e51 30369420259 Subtotal Thank you for your order. We appreaciate your business. If you have any questions, please Sales Tax (0.0 contact us at 1.800.952.3293 or fax 219.987.6826. Returns subject to a restocking charge. No returns will be accepted without prior authorization. In states other than Indiana, AFC is not registered to collect taxes. If taxes are due on this sale you will be obliged to pay them Tota directly to the various taxing authorities. Pagel AFC International Inc Invoice Box 894 715C SW Almond St I W., N AL. I H C DeMotte, IN 46310 Date Invoice 10/13/2011 33746 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 11/12/2011 10/13/2011 UPS Qty Shipped B/O Cat. No. Description Price Amount 1 1 0 10- 104 -50 Carbon Dioxide Tubes, 1 -20 29.92 29.92 extended range .25 -20% 1 1 0 10- 102 -20 Carbon Monoxide Tubes, 5 -100 ppm, 29.92 29.92 extended range 2.5- 200ppmv 1 1 0 10- 126 -10 Hydrogen Cyanide tube 2.5- 60ppmv, 29.92 29.92 extended range 1.25- 120ppmv 1 1 0 Shipping Shipping Insurance Charges 14.46 14.46 Tracking No 1z 6e51330369420259 Subtotal $564.46 Thank you for your order. We appreaciate your business. If you have any questions, please Sales Tax (0.0 contact us at 1.800.952.3293 or fax 219.987.6826. Returns subject to a restocking charge. No $0.00 returns will be accepted without prior authorization. In states other than Indiana, AFC is not registered to collect taxes. If taxes are due on this sale you will be obliged to pay them Total directly to the various taxing authorities. $564.46 Page 2 VOUCHER NO. W NO. AFC International ALLOWED 20 IN SUM OF P.O. Box 894 DeMotte, IN 46130 $931.06 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 33746 102 670.04 $564.46 1 hereby certify that the attached invoice(s), or 1120 33743 102 670.04 $142.60 bill(s) is (are) true and correct and that the 1120 I 33724 1 102 670.04 I $224.00 materials or services itemized thereon for I which charge is made were ordered and received except OCT 24 2011 7 1 .1 T U 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)) 33746 $564.46 33743 $142.60 33724 I I $224.00 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 20 Clerk- Treasurer