HomeMy WebLinkAbout225726 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 00353173 Page 1 of 1
ONE CIVIC SQUARE A F C INTERNATIONAL INC
CARMEL, INDIANA 46032 CHECK AMOUNT: $179.35
PO BOX 894
sa ao 715C SW ALMOND ST CHECK NUMBER: 225726
DEMOTTE IN 46310
CHECK DATE: 11/5/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 39293 179 . 35 OTHER EXPENSES
AFC International Inc
PO Box O94 Invoic
1 . e
ce
715� SW St
Date Invoice
w,J `w,^`� /"^ DmK8ot��. |N4G310
10M1/2013 39283
Bill To Ship To
City ofCarmel City ofCarmel
Jeff Cooper Attn Blaine Mallaber
9O09 Hazel Dell Pkwy OCT 2 9 2013 9609 Hazel Dell Pkwy
Indianapolis IN 40280 Indianapolis, IN 46280
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Verbal/Blaine Net 30 11/10/2013 10/11/2013 Federal Express
Sulfide 10ppm/Methane 50%
LEL/Oxygen 18%/N2 Calibration Gas,
1 1 0 Hazardous Hazardous fee 28.00 28.00
1 1 0 Shipping Shipping & Insurance Charges 6.85 6.85
Tracking No 064519364004213
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|
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-- -- --TO:' — - REMIT WIRE TRANSFERS TO: Subtotal -$179.35-
AFC International Inc Jp Morgan Chase
90 Box V94 Account# 134446783
DoNvxoDv4Bl0 Bvnk#O740O00l0
800.952.3293n,219.987.6825 SWIFT#C8A3US33 Total $179.35
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 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 10/30/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/30/201: 39293 $179.35
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 p5-11-10-1.6
Date Officer
VOUCHER # 136703 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
39293 01-7202-06 $179.35
Voucher Total $179.35
Cost distribution ledger classification if
claim paid under vehicle highway fund