HomeMy WebLinkAbout326785 06/29/18 �A
�F. CITY OF CARMEL, INDIANA VENDOR: 00351351
�;• ONE CIVIC SQUARE JACOB-DIETZ, INC CHECK AMOUNT: $***"2,453.00"
CARMEL, INDIANA 46032 130 S EWING ST CHECK NUMBER: 326785
INDIANAPOLIS IN 46201 CHECK DATE: 06/29/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351501 67394 2,453.00 EQUIPMENT MAINT CONTR
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 00351351
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
-
JACOB-DIETZ, INC IN SUM OF$ CITY OF CARMEL
130 S EWI NG ST 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.
INDIANAPOLIS, IN 46201
Payee
$2,453.00
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
67394 43-515.01 $2,453.00 I hereby certify that the attached invoice(s),or 6/19/18 67394 Hydrotest Bottles $2,453.00
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
Wednesday,June 20,2018
David Haboush
Fire Chief
l
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
INC. Invoice
JDJACOB-nETZ,
PROTECTION SPECIALISTS
130 South Ewing St Date Invoice#
Indianapolis,IN 46201
317-631-2304 Fax 317-631-3117 5/23/2018 67394
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
Net 30 6/22/2018 RDJ Carmel Fire Departm...
Quantity Description Rate Amount
107 Carbon Fiber cylinder hydrotest(above 3000 PSI) 19.00 2,033.00
105 Scott neck o-ring 4.00 420.00
Subtotal $2,453.00
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 $2,453.00