HomeMy WebLinkAbout229535 2/25/2014 CITY OF CARMEL, INDIANA VENDOR: 00351351 Page 1 of 1
ONE CIVIC SQUARE JACOB-DIETZ,INC
CHECK AMOUNT: $55.80
CARMEL, INDIANA 46032 130 S EWING ST
INDIANAPOLIS IN 46201 CHECK NUMBER: 229535
CHECK DATE: 2/25/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 58589 65 . 80 OTHER CONT SERVICES
JDJACOB-nETZ,
INC. Invoice
P R O T E C T I ON S P E C I A L IS T S
130 South Ewing St. Date Invoice#
Indianapolis,IN 46201
317-631-2304 Fax 317-631-3117 1/31/2014 58589
Bill To: Ship To:
Carmel Fire Department
2 Civic Square
Carmel, IN 46032
P.O.No. Work Order# Terms Due Date Rep Project
30789 1/31/2014 Carmel Fire Departm...
Quantity Description Rate Amount
1 204 ABC recharge 40.50 40.50
1 OR29 Neck o-ring 1.30 1.30
1 Amerex stem 6.00 6.00
1 Truck charge 18.00 18.00
Pay online at:
https://ipn.intuit.com/trz2st7v
Subtotal $65.80
Sales Tax (0.0%) $0.00
If not paid by due date,late charges will be assessed at the rate of 1.5%per month. Total $65.80
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))
58589 $65.80
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
Jacob Dietz
IN SUM OF $
130 S. Ewing Street
Indianapolis, IN 46201
$65.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 58589 I 43-509.00 I $65.80 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
FEB 2 4 2014
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund