HomeMy WebLinkAbout235903 8 /13/2014 �%'�,A,,�. CITY OF CARMEL, INDIANA VENDOR: 00351351
.+; ® ,• ONE CIVIC SQUARE JACOB-DIETZ, INC CHECK AMOUNT: $""""***490.15*
s ;a CARMEL, INDIANA 46032 130 S EWING ST CHECK NUMBER: 235903
9,,,,__� INDIANAPOLIS IN 46201 CHECK DATE: 08/13/14
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239020 59616 490.15 FIRE PREVENTION SUPPL
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9 iOF.South Ewing St.
Date Invoice
lnd�anapoTis,IN 462Q1
317631 230} Fax .;317 631.=3117 „ 6/30/2014 596I6
Bill To S1up To:
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Caty of Carmel Stxeets:Department
One Cm Square - 3400 bleat.13.1st Street
Carmel,-v-M44032 Carmel;IN 46074
P O No;; =:_ Wort:Order#;'.. Terms 'Due Date Pro,�ect '
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31659 7/31L20i4 Strectsa3epartment
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Quantity.. ,. Descnpflon
Rate_ -Amount
.. ' 90 ;- Fsre-E�chigutsher attinual inspection 3:00 270:00 ; ,
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1 70#Ac-lydrotest 47.65 1765
I i0#ABC 63�ear rr amtenance 13.00 13.110
i S 'taCliydrotes# _ 13:65 Z3 b5
2 5#-AIi6
6;yearaiauitenaiice lOOp 2Q,60
5#ABC=iecharge 1S.S0 - 46 5.0 .
'7 flR27 Neck,o nrig: 1.30 910
-` 1 _ 0R37 Neck:o ring=. 1;,30 1.3q
6 3 . ger stem ::. 80 Sl OA
1: : Amerex stem - - - 8,00 $QO
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:. 1 _ Buck,eye stem = 9:50 9-50 . .
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1 Puli pui_ 0.75 0 Z5
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G HszOdous Material, p z iunicat on 3:abel 0;x'4 4 20
- :,` S `lase:tiarid 2:50 7 Sp
l::.. . Truck clirge; 18.00 1$:04
. pay oni�.a at -
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.Subtotal- ' - $40615, --
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-- Sales Tax(4 0%Q :: :'$0:00.
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If notpaid by due.date,late charges w11 be assessed aL the Fate of 1 j%-,d ermonih ota1 - $490 15 !
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Jacob Dietz Inc
DC> S- 9— IN SUM OF $
Indianapolis, IN 46201
$490.15
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 I 59616 I 42-390.201 $490.15 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
on 1, 2014
WVVV WV —7 U
Streg1r9YtAA&96ner
Title
I
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
06/30/14 59616 $490.15
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