179101 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 363259 Page 1 of 1
ONE CIVIC SQUARE AAF INTERNATIONAL CHECK AMOUNT: $29.13
CARMEL, INDIANA 46032 1067 SOLUTIONS CENTER
CHICAGO IL 60677 -1000 CHECK NUMBER: 179101
CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 309292 29.13 OTHER EXPENSES
Invoice
REMIT TO AAF INTERNATIONAL
1067 SOLUTIONS CENTER 309292
309292
P.O. BOX 35690 CHICAGO, IL 60677 -1000
LOUISVILLE, KY 40232 FED. ID.: EIN 41 -040 -4230 DATE PAGE
PH6NE:1- 888 223 -2003 DUNS :00- 624 -9791 26- OCT -09 1 of 1
PURCHASE ORDER NUMBER
S11871
BILL TO SHIP TO
PO RELEASE
Attn: Accounts Payable CARMEL UTILITIES
CARMEL UTILITIES CITY OF CARMEL UTILITIES
760 3RD AVENUE SW 9609 HAZEL DELL PKWY SALES ORDER NUMBER
CARMEL, IN 46032 INDIANAPOLIS, IN 46280 180829
CUSTOMER NC Bill of Lading
97027392 000001
DUE DATE FOB Point FREIGHT SHIP DATE SHIP VIA ISHIPPING REF.
FE 30 DAYS 25- NOV -09 SHIP POINT FREIGHT ADD 26- OCT -09 PEDEX GROUND 0301 321 321 38489
QUANTITY EXTENDED
Part Number Description ORDERED BACK ORD. SHIPPED TAX UNIT PRICE AMOUNT
358- 15- 12Al2A PolyKlean Blue Pad 12xl2xl/2 24 0 2'4 0- 1 19 18.36
2 179- 400 -635 PerfectPleat 18x24x4 12 0 0 6.73 0.00
3 174 -500 -001 PerfectPleat 16x20x1 24 0 0 2.41 0.00
4 174 800 -001 PerfectPleat 20x25xl 24 0 0 2.91 0.00
5 172- 102 -800 PERFECTPLEAT 20 +25 +2 24 0 0 3.81 0.00
6 SHIPPING AND HANDLING 0 0 1 10.17 10.17
Tax Summary By Tax Code
Tax LOCATION B 0.00 Customer Exemption: 100.00% 0.00
EAII LOC 22 SHIPPING/
SUBTOTAL TAX HANDLING hOTAL
es will be made under AAF International's standard terms 1 8.96 0.00 10.1 7 29.1 3
onditions of sales. In no event will AAF International be
for special, indirect or consequential damage.
We would like vow' feedback about your lrmtsaclions with Aff'so we can improve e our performance. Please visit ow website www.aaTntLcow and click on Customer Survey,
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
T0697
AAF INTERNATIONAL Purchase Order No,
1067 SOLUTIONS CENTER Terms
CHICAGO, IL 60677 Due Date 11/2/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/2/2009 309292 $29.13
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
Date Officer
VOUCHER 096650 WARRANT ALLOWED
T0697 IN SUM OF
AAF INTERNATIONAL
1067 SOLUTIONS CENTER
CHICAGO, IL 60677
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
309292 01- 7202 -06 $18.96
309292 01- 7202 -06 $10.17
Voucher Total $29.13
Cost distribution ledger classification if
claim paid under vehicle highway fund