242329 2 /17/2015 S' CITY OF CARMEL, INDIANA VENDOR: 00351351
® °I ONE CIVIC SQUARE JACOB-DIETZ, INC CHECK AMOUNT: $*****89.95*
CARMEL, INDIANA 46032 130 S EWING ST CHECK NUMBER: 242329
+y a, INDIANAPOLIS IN 46201 CHECK DATE: 02/17/15
�ON O
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4351501 60499 89.95 EQUIPMENT MAINT CONTR
levier
JDFJ JACOB DIETZ, INC. Invoice
I R E PROTECTION SPEC 1 A L I S T S
130 South Ewing St. Date Invoice#
Indianapolis, IN 46201
317-631-2304 Fax 317-631-3117 1/29/2015 60499
Bill To: Ship To:
City of Carmel Carmel City Building
One Civic Square
Carmel, IN 46032
P.O.No. Work Order# Terms Due Date Rep Project
32540 1/29/2015 BJK Carmel City Building
Quantity Description Rate Amount
15 Fire Extinguisher annual inspection 3.00 45.00
1 10#ABC hydrotest 17.65 17.65
1 OR27 Neck o-ring 1.30 1.30 .
1 Amerex stem 8.00 8.00
1 Truck charge 18.00 18.00
Building Maintenance S&� I>�fll ed To
Account # Si 5"
Department # I zas FEB 16 2015
Ca�r�C retaurer
Subtotal $89.95
Sales Tax $0.00
If not paid by due date,late charges will be assessed at the rate of 1.5%per month. Total $89.95
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))
01/29/15 60499 $89.95
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jacob -Deitz, Inc.
IN SUM OF $
130 S. Ewing Street
Indianapolis, IN 46201
$89.95
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 I 60499 I 43-515.01 I $89.95 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
Monday, February 16, 2015
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund