HomeMy WebLinkAbout189860 09/14/2010 a CITY OF CARMEL, INDIANA VENDOR: 00351351 Page 1 of 1
ONE CIVIC SQUARE JACOB- DIETZ, INC CHECK AMOUNT: $154.85
ra CARMEL, INDIANA 46032 2708 E MICHIGAN ST
INDIANAPOLIS IN 46201 CHECK NUMBER: 189860
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 52047 154.85 OTHER MISCELLANOUS
L
i
a
JD JACOB DIET z, INC. Invoice r
"'E PROTECTION SPECIALISTS
2708 East Michigan Street Date Invoice
Indianapolis, IN 46201
317 -631 -2304 Fax 317- 631 -3117 8/25/2010 52047
Bill To: Ship To:
Carmel Police Department Carmel Police Department
3 Civic Square 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
P.O. No. Work Order Terms Due Date Rep Project
24726, 24541 8/25/2010 Carmel Police Depar...
Quantity Description Rate Amount
13 Fire Extinguisher annual inspection 3.00 39.00
2 5# ABC recharge 15.50 31.00
1 5# ABC test recharge 29.1.5 29.15
1 54 ABC hydrotest 13.65 13.65
4 OR27 Neck o -ring 1.30 5.20
2 Kidde stem 5.25 10.50
2 Badger stem 6.00 12.00
3 Hazardous Material Communication Label 0.70 2.10
3 Pull Pin 0.75 2.25
1 Truck. charge 10.00 10.00
Subtotal $154.85
Sales Tax (0.0 $0.00
Total $154.85
Prescribed by State Board orAccounts ACCOUNTS PAYABLE VOUCHER City Form No 201 (Rev. 1995)
CITY OF.CARMEL
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.
Payee
Jacob— Dietz, Inc. Purchase Order No.
2708 East Michigan St
Terms
Indpls, IN 46201
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8/25/10 52047 annual fire extinguisher inspection repairs 154.85
Total
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
Clerk- Treasurer
VC)IJOIdER NO. WARRANT NO.
ALLOWED 20
Jacob -Dietz Inc.
IN SUM OF
2708 East Michigan St
Indpls, IN 46201
154.85
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice (s), or
1110 52047 390 -99 154.85 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
Sept. 8, 2010
R i gnature
hief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund