HomeMy WebLinkAbout218365 03/25/2013 CITY OF CARMEL, INDIANA VENDOR: 00353173 Page 1 of 1
` ONE CIVIC SQUARE A F C INTERNATIONAL INC
CARMEL, INDIANA 46032 PO Box 694 CHECK AMOUNT: $157.90
715C SW ALMOND ST CHECK NUMBER: 218365
DEMOTTE IN 46310
CHECK DATE: 3/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 37559 157 . 90 CONT SVS-OTHER-S PLAN
AFC International Inc Invoice
PO Box 894
715C SW Almond St
INT AN TIONAt. INr. DeMotte, IN4631U Date Invoice#
3/7/2013 37559
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: Re Shi
p., p
Verbal/Jeff Net 30 4/6/2x013 3/7/2013 UPS
Qty Shipped, B/O I Cat. No: �) Deseri,ptiorr Price Amount
2 2 0 90-90001 QRae II repairs, s/n's 181-100961, 75.00 150.00
181-119711. Cleaned pumps and
adjusted flow, tested and calibrated,
and labor. Case#'s 201302-4303,4304
Cert. #'s 2013-0058, 2013-0057
1 1 0 Shipping Shipping & Insurance Charges 7.90 7.90
Tracking No lz891ar30364026353
Thank you for your order.We appreaciate your business. 1 f you have any questions,please contact us at
1.800.952.3293 or fax 219.987.6826. Returns subject to a restocking charge.No 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 directly to the various taxing authorities.
REMIT TO: REMIT WIRE TRANSFERS TO: Subtotal $_157.90
AFC International Inc - JP Morgan Chase-
PO Box 894 Account# 134446783 Sales Tax(7.0%) $0.00
DeMotte IN 46310 Bank#074000010
800.952.3293 or 219.987.6825 SWIFT#CFIASUS33 Total $157.90
FEIN 36-3836857
VOUCHER # 135126 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
37559 01-7362-06 $157.90
Voucher Total $157.90
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 3/18/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/18/2013 37559 $157.90
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