HomeMy WebLinkAbout175573 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 00353173 Page 1 of 1
0 ONE CIVIC SQUARE A F C INTERNATIONAL INC
CARMEL, INDIANA 46032 PO BOX 894 CHECK AMOUNT: $569.70
715C SwALMOND ST CHECK NUMBER: 175573
DEMOTTE IN 46310
CHECK DATE: 8/6/2009
DE PARTM ENT ACC OUNT P NUM BER INVOIC NUMBER AMOUNT DESCRIPTI
102 4467004 28235 569.70 HAZARDOUS MATERIALS
1A AFC International Inc Inv oice
Box 894
715C SW Almond St
Y 1 o M.s_ K q DeMotte, IN 46310 Date Invoice
5/20/2009 28235
Bill To Ship To
Carmel Fire Department Carmel Fire Department
Gary Brandt Gary Brandt/Hazmat Grant
2 Civic Square 2 Civic Square
Carmel IN 46032 Carmel IN 46032
P.O. No. Terms �sDue-Dat Rep Ship Via
Net 30 6/19/2009 CE S 5/2012009 UPS
Qty Shipped B/O Cat. No.'"� Description Price Amount
1 1 0 6400000 Accuro Pump 409.00 409.00
1 1 0 6400077 Accuro Pump Extension 160.70 160.70
Hose, 3M
6D
Tracking No
Subtotal $569.70
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 T ax (0.0 $0.00
Returns subject to restocking charge. No returns will be accepted without
authorization number. Total $569
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))
28235 HazMat Equipment $569.70
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
2a
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
AFC International
IN SUM OF
P.O. Box 894
DeMotte, IN 46130
$569.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
1120 28235 102- 670.04 $569.70 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
d
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund