HomeMy WebLinkAbout303733 09/30/16 0'% "p;"? CITY OF CARMEL, INDIANA VENDOR: 00351351
ONE CIVIC SQUARE JACOB-DIETZ, INC CHECK AMOUNT: $*******127.60*
_� CARMEL, INDIANA 46032 130 S EWING ST CHECK NUMBER: 303733
.y�,*oN�, INDIANAPOLIS IN 46201 CHECK DATE: 09/30/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 62989 127.60 OTHER CONT SERVICES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
JACOB-DIETZ, INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
130 S EWING ST IN SUM OF$ 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.
$127.60 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
62989 43-509.00 $127.60 I hereby certify that the attached invoice(s),or 9/27/16 62989 $127.60
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
Tuesday, September 27, 2016
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 DIETZ, INC. Invoice
FIRE PROTECTION SPECIALISTS
130 South Ewing St. Date Invoice#
Indianapolis,IN 46201
317-631-2304 Fax 317-631-3117 7/28/2016 62989
Bill To: Ship To:
Carmel Fire Department Fire Station#41
2 Civic Square
Carmel IN 46032
P.O.No. Work Order# Terms Due Date Rep Project
34720 Net 30 8/27/2016 RWA Fire Station#41
Quantity Description Rate Amount
2 20#ABC recharge 43.50 87.00
2 OR29 Neck o-ring 1.30 2.60
2 Amerex stem 9.00 18.00
2 UN1044 DOT Label 0.65 1.30
1 Hazardous Material Communication Label 0.70 0.70
1 Truck charge 18.00 18.00
Subtotal $127.60
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 $127.60