225725 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 363259 Page 1 of 1
ONE CIVIC SQUARE A A F INTERNATIONAL
CARMEL, INDIANA 46032 24828 NETWORK PLACE CHECK AMOUNT: $1,455.56
CHICAGO IL 60673-1248
CHECK NUMBER: 225725
CHECK DATE: 11/5/2013
DEPARTMENT ACCOUNT PO NUMBER' INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 90688405 , 1, 455 . 56 OTHER EXPENSES
«,- EW REMIT-TO: INVOICE
AF International
NUMBER
:.:::...::... :.. ..:..........: 4828 Network Place 90688405
P.O.BOX 35690 Chicago, IL 60673-1248 DATE PAGE
LOUISVILLE, KY 40232
PHONE: 502-637-0011 1 110/23/2013 1 of 1
FED.ID: 61-0117860
PURCHASE ORDER NUMBER
DUNS: 07-838-1958 13753
BILL T0: SHIP TO: PO RELEASE
Attn:Accounts Payable
CITY OF CARMEL UTILITIES
CARMEL WASTE WATER TREATMENT 9609 HAZEL DELL PKWY SALES ORDER NUMBER
9609 HAZEL DELL PKWY 80259
INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280
USA USA SOLD TO PAYER
CUSTOMER NO CUSTOMER NO
97027392 98065758
ILL OF LADING
1000601999
hese commodities, technology or software were exported from the United States in accordance with the Export Administration Regulations.Diversion
contrary to U.S. law is prohibited.
TERMS DUE DATE FOB Point FREIGHT SHIP DATE SHIP VIA SHIPPING REF
NET 30 DAYS 11/22/2013 SHIPPING POINT PP&Add 10/23/2013 OLD DOMINION 04648209999
Invoice Notes:
Job Name :
Item no Part number Description UOM Quantity Unit Price Extended
Ordered BackOrd Shipped Amount
10 523-500-300 AMERSEAL BLUE 3-PLY PANEL 16X20 PC 48 0 48 3.730 179.0
0 523-859-304 AMERSEAL BLUE 3-PLY LINK 24X80 PC 12 0 12 22.930 275.1
0 523-700-304 AMERSEAL BLUE 3-PLY LINK 20X80 PC 12 0 12 19.320 231.84
0 523-500-304 AMERSEAL BLUE 3-PLY LINK 16X80 PC 36 0 36 16.660 599.7
SHIPPING AND HANDLING 169.7
01 0 to
� p
Ship L'oc=0022 Date Created- 10/24/2013 - SUBTOTAL SHIPPING/ _ TAX __ _TATA
HANDLING
Sales Org-1000 Dist Channel-70
All sales will be made under AAF International's standard terms and conditions of sales.ln 1,285.80 169.76 0.00 USD 1,455.56
no event will AAF International be liable forspecial,Indirect or consequential damage.
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.
24828 Network Place Terms
CHICAGO, IL 60673 Due Date 10/31/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/31/201, 90688405 $1,455.56
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 # 136747 WARRANT # ALLOWED
T0697 IN SUM OF $
AAF INTERNATIONAL
24828 Network Place
CHICAGO, IL 60673
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
90688405 01-7202-06 $1,455.56
I
i
Voucher Total $1,455.56
Cost distribution ledger classification if
claim paid under vehicle highway fund ,