HomeMy WebLinkAbout333113 12/11/18 `� ��q�f. CITY OF CARMEL, INDIANA VENDOR: 00351351
s ONE CIVIC SQUARE JACOB-DIETZ, INC CHECK AMOUNT: $*******101.40*
:9� /+' CARMEL, INDIANA 46032 130 S EWING ST CHECK NUMBER: 333113
���oN�o• INDIANAPOLIS IN 46201 CHECK DATE: 12/11/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 69274 101.40 OTHER CONT SERVICES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00351351 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
JACOB-DIETZ, INC IN SUM OF$ CITY OF CARMEL
130 S EW I 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
$101.40
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
69274 43-509.00 $101.40 1 hereby certify that the attached invoice(s),or 11/29/18 69274 Fire Ext.Service $101.40
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
Monday, December 3,2018
David Haboush
Fire Chief
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
JDJACOB,nETZ, INC. Invoice
FIRE PROTECTI ON SPECIALISTS
130 South Ewing St Date Invoice#
Indianapolis,IN 46201
317-631-2304 Fax 317-631-3117 10/31/2018 69274
Bill To: Ship To:
Carmel Fire Department Carmel Fire department
2 Civic Square One Civic Square
Carmel IN 46032 Carmel IN 46032
Sales-Rep
P.O.No. Work Order# Terms Due Date Rep Project
03573 Net 30 11/30/2018 MRD Carmel Fire Departm...
Quantity Description Rate Amount
1 10#ABC recharge 25.50 25.50
1 20#ABC recharge 35.50 35.50
1 Amerex stem 9.00 9.00
1 OR29 Neck o-ring 1.30 1.30
1 Amerex stem 8.00 8.00
1 Neck o-ring 1.30 1.30
2 Hazardous Material Communication Label 0.70 1.40
2 UN1044 DOT Label 0.70 1.40
1 Truck charge 18.00 18.00
Subtotal $101.40
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 $101.40