HomeMy WebLinkAbout212106 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 00353173 Page 1 of 1
ONE CIVIC SQUARE A F C INTERNATIONAL INC
CARMEL, INDIANA 46032 PO Box 894
CHECK AMOUNT: $277.18
715C SW ALMOND ST CHECK NUMBER: 212106
DEMOTTE IN 46310
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 35913 277 . 18 OTHER EXPENSES
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A [ AFC International Inc Invoice
PO Box 894
715C SW Almond St
INT AN TIONA�. INe DeMotte, IN 46310 Date Invoice#
8/2/2012 35913
Bill To Ship To
City of Carmel City of Carmel
Jeff Cooper Jeff Cooper
9609 Hazel Dell Pkwy 9609 Hazel Dell Pkwy
Indianapolis IN 46280 Indianapolis, IN 46280
P.O. No. Terms Due Date Rep Ship Via
Verbal/Jeff Net 30 9/1/2012 8/2/2012 UPS
Qty Shipped B/O Cat. No. Description Price Amount
1 1 0 34-413-18 Carbon Monoxide 50ppm/Hydrogen 144.50 144.50
Sulfide 10ppm/Methane 50%
LEL/Oxygen 18%/N2 Calibration Gas,
34
1 1 0 008-3022-010 Water Trap Filter w/o adapter, pk/10 23.75 23.75
1 1 0 G01-2003-025 Dust Filter for Pumped Instruments , 24.70 24.70
pk/25
1 1 0 Hazardous Hazardous fee 20.00 20.00
1 1 0 Shipping Shipping & Insurance Charges 14.23 14.23
Fed Ex tracking # 064519330094095
Tracking No
1z6e51330368356634
Subtotal $227.18
Thank you for your order.We appreaciate your business. If you have any questions,please Sales Tax (7.0%)
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 ®��a
directly to the various taxing authorities. $227.18
VOUCHER # 125540 WARRANT # ALLOWED
00353173 IN SUM OF $
AFC INTERNATIONAL INC
PO BOX 894
DEMOTTE, IN 46310
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
35913 01-7202-06 $277.18
Voucher Total $277.18
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00353173
AFC INTERNATIONAL INC Purchase Order No.
PO BOX 894 Terms
DEMOTTE; IN 46310 Due Date 8/21/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/21/2012 35913 $277.18
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
a 12-///L CID Date Officer