HomeMy WebLinkAbout302178 08/22/16 ,y'`�*p''F CITY OF CARMEL, INDIANA VENDOR: 00351351
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ONE CIVIC SQUARE JACOB-DIETZ, INC CHECK AMOUNT: $********57.65*
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CARMEL, INDIANA 46032 130 S EWING ST CHECK NUMBER: 302178
9MiroN. .` INDIANAPOLIS IN 46201 CHECK DATE: 08/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 62733 57.65 OTHER CONT SERVICES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
JACOB-DIETZ, INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
130 S EWING ST IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46201 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$57.65 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
62733 43-509.00 $57.65 1 hereby certify that the attached invoice(s),or 8/11/16 62733 $57.65
1120 101 1120 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
Friday,August 12, 2016
D44.. _
David Haboush
Fire Chief
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—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
` JACOB DtETZ, INC. Invoice
FIRE PROTECT 1 O N SPECIALISTS
130 South Ewing St Date Invoice#
Indianapolis,IN 46201
317-631-2304 Fax 317-631-3117 5/31/2016 62733
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# Terms Due Date Rep Project
34112 Net 30 6/30/2016 JLW Carmel Fire Departm...
Quantity Description Rate Amount
1 10#ABC recharge 28.50 28.50
1 Neck o-ring 1.30 1.30
1 Badger stem 8.50 8.50
1 Hazardous Material Communication Label 0.70 0.70
1 UN1044 DOT Label 0.65 0.65
1 Truck charge 18.00 18.00
Subtotal $57.65
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 $57.65