HomeMy WebLinkAbout257950 04/26/16 utF.`N
'� '''• CITY OF CARMEL, INDIANA VENDOR: 00351351
` '. CHECKAMOUNT: $*******115.20*
ONE CIVIC SQUARE JACOB-DIETZ, INC
s.. �� CARMEL, INDIANA 46032 130 S EWING ST CHECK NUMBER: 257950
9�;_,._,.o:= INDIANAPOLIS IN 46201
��eN� CHECK DATE: 04/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239099 62395 115.20 OTHER MISCELLANOUS
rescribed 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
rhom, rates per day, number of hours, rate per hour, number of units, price per unit,etc.
Payee
Purchase Order No.
Terms
Date Due
,voice Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
03/31/16 I 62395 I Chief&Freer CarI $115.20
1120 101
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, INC
130 S EWING ST
IN SUM OF $
INDIANAPOLIS, IN 46201
$115.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
r -
62395 42-390.99 $115.20 1 hereby certify that the attached invoice(s), or
1120 I 101
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
Tuesday, April 19, 2016
2
David Haboush
Fire Chief
Cost distribution ledger classification if
claim paid motor vehicle highway fund
JDJACOB-nETZ,
INC. Invoice
PROTECTION SPECIALISTS
130 South Ewing St Date Invoice 4
Indianapolis,IN 46201
317-631-2304 Fax 317-631-3117 3/31/2016 62395
Bill To: Ship To:
Carmel Fire Department Carmel Fire department
2 Civic Square One Civic Square
Carmel IN 46032 Carmel IN 46032
P.O.No. Work Order 4 Terms Due Date Rep Project
Jason Force Net 30 4/30/2016 BJK Carmel Fire Departm...
Quantity Description Rate Amount
2 New 59 ABC Fire Extinguisher w/vehicle brkt 57.60 115.20
Subtotal $115.20
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 $115.20