HomeMy WebLinkAbout220919 06/18/2013 a CITY OF CARMEL, INDIANA VENDOR: 00353173 Page 1 of 1
Q �
ONE CIVIC SQUARE A F C INTERNATIONAL INC CHECK AMOUNT: $222.28
CARMEL, INDIANA 46032 PO BOX 894
a _o� 715C SW ALMOND ST CHECK NUMBER: 220919
DEMOTTE IN 46310
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 37958 90 . 00 OTHER EXPENSES
1120 4237000 38257 132 . 28 REPAIR PARTS
A [ AFC International Inc ���®���
PO Box 894
715C SW Almond St
DeMotte IN 46310 Date Invoice#
IHi 4N TION 4L. INC: f
4/23/2013 37958
Bill To Ship To
City of Carmel City of Ca I
Jeff Cooper Jeff Co per/Street Dept '^n
9609 Hazel Dell Pkwy 9609 Ha
Indianapolis IN 46280 Indianapolis, IN 46280
P.O. No. Terms Due Date Rep Ship Via
Street Dept Net 30 5/23/2013 4/23/2013 UPS
Qty Shipped. B/O Cat: No. Description Price Amount
1 1 0 90-90001 QRae II repair, s/n 181-137568. 90.00 90.00
Cleaned pump, Calbrated unit and
tested fine. Cert. #2013-0128. Case#
201304-4484
Tracking No
Thank you for your order. We appreaciate your business. If you have any questions,please contact us at
1.800.92.3293 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 taring authorities.
REMIT TO: REMIT WIRE TRANSFERS TO: Subtotal $90.00
AFC International Inc JP Morgan Chase
-PO-Box-894 Account# 134446783 Sales Tax(7.0%)4 $0.00 _
DeMotte IN 46310 Bank#074000010
800.952.3293 or 219.987.6825 SWIFT#CHASUS33 Total $90.00
FEIN 36-383687
i
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 6/12/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/12/2013 37958 $90.00
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�g///
Date icer
VOUCHER # 135765 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
37958 01-7360-02 $90.00
Voucher Total $90.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
AFC International Inc 0��®���
PO Box 894
715C SW Almond St
DeMotte IN 46310 Date Invoice#
INi N TION Aa. INC f
5/31/2013 38257
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 6/30/2013 5/31/2013 Federal Express
Qty Shipped B/O Cat. No. Description Price Amount
1 1 0 103-50-50 Carbon Monoxide 50ppm/Air 102.00 102.00
Calibration Gas, 103L
1 1 0 Hazardous Hazardous fee 20.00 20.00
1 1 0 Shipping Shipping & Insurance Charges 10.28 10.28
Tracking No 064519330146626
Thank you for your order. We appreaciate your business. If 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 $132.28
AFC International Inc JP Morgan Chase
PO Boa 894 Account# 134446783 Sales Tax(0.0%) $0.00
DeMotte IN 46310 Bank#074000010
800.952.3293 or 219.987.6825 SWIFT#CHASUS33 Total $132.28
FEIN 36-3836857
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 Number (or note attached invoice(s) or bill(s))
38257 Calibration Gas- Detectors $132.28
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
$132.28
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 38257 I 42-370.00 I $132.28 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
IUN 17 701.1
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund