HomeMy WebLinkAbout173190 06/10/2009 CITY QFCARK8EL.INDIANA «swoVn 0035 3173 Page 1 of 1
ONE CIVIC SQUARE AFC.|NTERNAT|oNALINC
�HE�KA�OUNT� $1*366
CAnMsL INDIANA 46032 p000xme
r,ocxw^Lmnwour CHECK NUMBER: 173190
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CHECK DATE: 6/10120o9
oepAnTMcmT «ccoumT PO NUMBER INVOICE NUMBER *MoumT DESCRIPTION
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AFC International Inc ��V�1��
PO Box 894
715C SW Almond St
YEaKAL. DeMotte, IN 46310 Date Invoice#
5/27/2009 28251
Bill To Ship To
Carmel Fire Department Carmel Fire Department
Gary Brandt Attn Chuck Plumer
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 6/26/2009 CES 5/27/2009 Federal Express
Qty Shipped B/O Cat. No. Description Price Amount
1 1 0 103 -301 Carbon Monoxide 105.60 105.60
50ppm /Methane 50% LEL /Air
Calibration Gas, 103L
1 1 0 Hazardous Hazardous fee 28.00 28.00
1 1 0 Shipping Shipping Insurance 10.06 10.06
Charges
Tracking No
Subtotal $143.66
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
$143.66
Prescribed by State Board of Accounts City Form No. O1 (Rev. 995)
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))
28251 Bump Gas $143.66
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
$143.66
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1920 28251 42- 370.00 $143.66 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
,SUN a 2409
r
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund