322874 03/12/18 CITY OF CARMEL, INDIANA VENDOR: 372096
d ONE CIVIC SQUARE JEZROC METALWORKS INC CHECK AMOUNT:'$*******177.40*
CARMEL, INDIANA 46032 205 SOUTH 1100 EAST CHECK NUMBER: 322874
M_TON_A. ZIONSVILLEIN 46077 CHECK DATE: 03/12/18
DEPARTMENT ACCOUNT PO NUMBER _ INVOICE,NUMBER, AMOUNT DESCRIPTION
1120 4350100 1963 177.40 BUILDING REPAIRS & MA
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 372096 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
JEZROC METALWORKS INC IN SUM OF$ CITY OF CARMEL
205 SOUTH 1100 EAST An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
ZIONSVILLE, IN 46077
Payee
$177.40
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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
1963 43-501.00 $177.40 1 hereby certify that the attached invoice(s),or 3/4/18 1963 $177.40
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
Sunday, March 04,2018
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
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Jezroc.Metalworks,Inc. Invoice
205 Som 1100-Eas<, ,.
Zionsville, IN 46077 aiolrkv=yL= =7xn:ate'h:
,(317)417=1.132
jezroc@jezrocmetalworks.com
z
j+.
Bl IV)
Carmel.Fire Department
2 Civic Square
Carmel,IN" 46032
s
1963 G2/21/2 ' i^ raf You ' L vuv4y5
(} 8 _. Y
$1577.40 03123/201,8 Net 30
PURCHASE ORDER#
.4 I QTY t i E9T
3/16";flat 4"x:36" 2- 7:50 15.00
2x2x3/16"square tube 1 80.80 80.80:
-4 pcs:;@ 65"-$23.40 Each
4;pcs.•@ 21.75"-$7:50 Each
2 pcs.@ 27" $9.50 Each
2x2x1/8"Angle 1 30.00: 30.00
2 pcs.@ 36"-$5.00
2 pcs. @ 72"-@$10.00
6x6x1%4"Wall Tube 1 51:60 .6{3
4.pcs.:@ 8 $412.90 Each
BALANCE°DUE $177.40