HomeMy WebLinkAbout230001 3 /12/2014 CITY OF CARMEL, INDIANA VENDOR: 00351351
JACOB-QIETZ, INC CHECK AMOUNT: S"'`""'564.00"
ONE CIVIC SQUARE 130 S EWING ST CHECK NUMBER: 230001
i° CARMEL, INDIANA 46032 INDIANAPOLIS IN 46201 CHECK DATE: 03/12/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCOTHER COI3 RIPTION
SERVICES
1120 4350900 58747 564.00
JACOB nETZ, INC. Invoice
I, RE PROTECTION SPECIALISTS .
130 South Ewing St Date Invoice 4
Indianapolis,IN 46201
317-631-2304 Fax 317-631-3117 2/28/201.4 58747
Bill To: Ship To:
Carmel Fire Department 10701 W. 107th Street
2 Civic Square Carmel, IN 46032
Carmel, IN 46032
P.O.No. Work Order# Terms Due Date Rep Project
30988 2/28/2014 RDJ Carmel Fire Departm...
Quantity Description Rate Amount
12 Cascade cylinder hydrotest 45.50 546.00
1 Truck charge 18.00 18.00
Pay online at:
https:Hipn.intuit.com/x3rc85di
Subtotal $564.00
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 $564.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jacob Dietz
IN SUM OF $
130 S. Ewing Street
Indianapolis, IN 46201
$564.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 58747 I 43-509.00 I $564.00 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
MAR 0 2014
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Irescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
\n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
vhom, 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))
58747 $564.00
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 5-11-10-1.6
20
Clerk-Treasurer