HomeMy WebLinkAbout320472 01/11/18 CITY OF CARMEL, INDIANA VENDOR: 00351351
® it ONE CIVIC SQUARE JACOB-DIETZ, INC CHECK AMOUNT: $******'*92.00*
CARMEL, INDIANA 46032 130 S EWING ST CHECK NUMBER: 320472
INDIANAPOLIS IN 46201 CHECK DATE: 01/11/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 65885 92.00 OTHER CONT SERVICES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts . City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 00351351
IN.SUM OF$ CITY OF CARMEL
JACOB-DIETZ, INC
130 S EWING ST An invoice orbill to be properly itemized mustshow:kind ofservice,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
INDIANAPOLIS, IN 46201
Payee
$92.00
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
65885 43-509.00 $92.00 1 hereby certify that the attached invoice(s),or 1/3/18 65885 $92.00
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,January 05,2018
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer'
J,DJACOB
nETZ, INC. Invoice
I R E P R O T E C T 19 N 5 P E C l A L!5 T 5
130 South Ewing St Date Invoice#
Indianapolis,IN 46201
317-6312304 Fax. 317-631-3117 12/11/2017 65885
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
37150 12/11/2017 MRD Carmel Fire Departm...
Quantity Description Rate Amount
4 Plastic Bottoms 19.50 74.00
1 Truck charge 18.00 18.00
Subtotal $92.00
Sales Tax $0.00
If not paid by due date,late charges will be assessed at the rate of 1.5%per month. Total $92.00