HomeMy WebLinkAbout321724 02/13/18 '-
i CITY OF CARMEL, INDIANA VENDOR: 00351351
® ONE CIVIC SQUARE JACOB-PIETZ, INC CHECK AMOUNT: S***""""112.00*
4 CARMEL, INDIANA 46032 130 S EWING ST CHECK NUMBER: 321724
9�"�r6ri"LOQ INDIANAPOLIS IN 46201 CHECK DATE: 02/13/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 66059 112.00 OTHER EXPENSES
ii.
VOUCHER NO. 177320 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 351351 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
JACOB-DIETZ, INC. CITY OF CARMEL
130 S. EWING STREET An invoice or bill to be properly itemized must show: kind of service,where performed,
Indianapolis, IN 46201 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
112.00 351351 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR JACOB-DIETZ, INC. Terms
Carmel Wasterwater Utility 130 S. EWING STREET Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), Indianapolis,IN 46201
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
66059 01-720H-08 $22.00 and received except 2/5/2018 66059 $22.00
66059 01-7361-1-08 $90.00 2/5/2018 66059 $90.00
.2
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20
Clerk-Treasurer
JDJACOB,DETZ, INC. Invoice
PROTECTION SPECIALISTS
130 South Ewing St Date Invoice#
Indianapolis,IN 46201
317-631-2304 Fax 317-631-3117 1/17/2018 66059
Bill To: Ship To:
Carmel Utilities City of Carmel HHW
30 W Main Street#200 901 Rangeline Road
Carmel,Indiana 4.6032 Carmel,IN 46032
P.O.No. Work Order# Terms Due Date Rep Project
26725 Net 30 2/16/2018 RWA Carmel Utilities
Quantity Description Rate Amount
1 Semi-annual inspection of dry chemical Fire Protection system for 90.00 90.00
HHW trailer
2 Quick Response Fusible Link 212 degree 11.00 22.00
Subtotal $112.00
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 $112.00