HomeMy WebLinkAbout209021 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 00353173 Page 1 of 1
t` ONE CIVIC SQUARE A F C INTERNATIONAL INC
CARMEL, INDIANA 46032 PO Box 894
CHECK AMOUNT: $398.61
715C SW ALMOND ST
CHECK NUMBER: 209021
DEMO7TE IN 46310
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 35300 398.61 REPAIR PARTS
AFC International Inc Invoice
PO Box 894
715C SW Almond St
1 H T 0. TI O N At. I N G DeMotte, IN 46310 Date Invoice
5/2/2012 35300
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 /Chuck Net 30 6/1/2012 5/2/2012 UPS
Qty Shipped B/0 Cat. No. Description Price Amount
1 1 0 70 -0.50 Regulator for 58,103L and 34L 99.00 99.00
Cylinders, 0.5 LPM
1 1 0 58- 413 -18 Calibration gas 58 Liter, 50% LEL 170.00 170.00
Methane, 50 ppm CO, 10 ppm H2S,
18%02
1 1 0 315- 080012 2.5% Methane /Air 21 L 46.55 46.55
2 2 0 Hazardous Hazardous fee 28.00 56.00
1 1 0 Shipping Shipping Insurance Charges 27.06 27.06
029193335274750, Fed Ex
Tracking No
Subtotal $398.61
Thank you for your order. We appreaciate your business. If you have any questions, please Sales Tax ��.Q
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 Tota
directly to the various taxing authorities. $398.61
VOUCHER NO. WARRANT N
ALLOWED 20
AFC International
IN SUM OF
P.O. Box 894
DeMotte, IN 46130
$398.6
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO ACCT #/TITLE AMOUNT Board Members
1120 I 35300 42- 370.00 I $398.61 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
MAY 1,1 2012
1
-4
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 Numb (or note attached invoice(s) or bill(s))
35300 $398.61
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