179553 11/24/2009 a CITY OF CARMEL, INDIANA VENDOR: 00353173 Page 4 of 1
ONE CIVIC SQUARE A F C INTERNATIONAL INC
CARMEL, INDIANA 46032 PO BOX 694 CHECK AMOUNT: $6,902.18
715C SWALMOND ST CHECK NUMBER: 179553
DEMOTTE IN 46310
CHECK DATE: 11/24/2009
DEPARTMENT ACCOUNT PO NUMBER INVOIC NUMBER AMOUNT DE
102 4467004 29144 6,902.18 HAZARDOUS MATERIALS
a
A[ AFC International Inc Invoice
Box 894
715C SW Almond St
T.aK.L, ,,,r DeMotte, IN 46310 Date Invoice#
10/2712009 29144
r 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 11/26/2009 10/27/2009 UPS
Qty Shipped B/0 Cat. No. Description Price Amount
4 4 0 020 1111 -2A0 QRAE Two pumped LEL 590.75 2,363.00
CSA- UL /02 /H2S
100ppm /CO- Li -ion
rechargable includes: Alkaline
adapter, Internal filters,
charging /download cradle
with computer cable,
Lithium -Ion battery pack,
universal wall adapter, CD
ROM with user manual and
ProRAE Studio, Quick Start
Guide, shipping case, wter
trap filter
1 1 0 T01- 0001 -000 Bump/Test Calibration 1,165.50 1,165.50
Station (for RAE WVO
pumped and diffusion units)
1 1 0 600 0050 -007 4 -gas calibration mix, 34L 213.30 213.30
(50% LEL, 18 %02, 10ppm
H2 N2
1z6e5l330368762267
Subtotal
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
Returns subject to restocking charge. No returns will be accepted without
authorization number. Total
Page 2
AFC International Inc
PO Box 894 Invoice
715C SW Almond St
DieMotte, IN 46310 Date Invoice
10/27/2009 29144
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 11/26/2009 10/27/2009 UPS
Qty Shipped B/O Cat. No. Description Price Amount
2 2 0 S0158 Sensit HXG -3, includes 611.60 1,223.20
carrying case, 1st set of
batteries, wrist strap, and
instructions.
1 1 0 Shipping Shipping Insurance 69.73 69.73
Charges
Tracking No
lz6e51330368762267
Subtotal $6,902.18
Thank you for your order. We appreciate your business. If you have any
questions piease 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 $6,902.18
Page 3
A[ AFC International Inc I�V�iC�
PO Box 894
715C SW Almond St
b IN 46310 Date Invoice
10/27/2009 29144
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 11/26/2009 10/27/2009 UPS
Qty Shipped B/O Cat. No. Description Price Amount
1 1 0 G01- 0101 -010 ToxiRAE 3 Single Gas 1,436.50 1,436.50'
Monitor- Carbon Monoxide
0- 500ppm: operation manual,
rugged alligator clip,
functional gas test adapter,
calibration certificate. (pack of
10)
3 3 0 G01 -0103 -000 ToxiRAE 3 Single Gas 143.65 '430.95
Monitor- Carbon Monoxide
0- 1999ppm: operation
manual, rugged alligator clip,
functional gas test adapter,
calibration certificate.
Tracking No
]z6e5l330368762267
Subtotal
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
Returns subject to restocking charge. No returns will be accepted without
authorization number. Total
Page 1
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))
29144 HazMat Eqpt. $6,902.18
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
VOUCHER_ NO. WARRANT NO.
ALLOWED 20
AFC International
IN SUM OF
P.O. Box 894
DeMotte, IN 46130
$6,902.18
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 29144 102 670.04 $6,902.18 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
Nov 2 Z069
If
LAO—
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund