HomeMy WebLinkAbout192861 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 00351351 Page 1 of 1
ONE CIVIC SQUARE JACOB- DIETZ, INC
CHECK AMOUNT: $212.80
CARMEL, INDIANA 46032 2708 E MICHIGAN ST
INDIANAPOLIS IN 46201 CHECK NUMBER: 192861
CHECK DATE: 1 2/1 51201 0
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 52591 105.80 OTHER CONT SERVICES
651 5023990 8007 107.00 OTHER EXPENSES
JACOB DIETZ, INC. Invoice
F R E P R O T E C T I O N S P E C I A L I S T S
2708 East Michigan Street Date Invoice
Indianapolis, IN 46201
317- 631 -2304 Fax 317 -631 -3117 11130/2010 52591
Bill To: Ship To:
Carmel Fire Department
2 Civic Square
Carmel, IN 46032
P.O. No, Work Order `Perms Due Date Rep Project
24464 11/30/2010 Carmel Fire Departm...
Quantity Description Rate Amount
1 20# CO2 recharge 1.9.00 19.00
1 20# ABC recharge 40.50 40.50
1 OR29 Neck o -ring 130 1.30
2 Burst Disc 3360 22.50 45.00
Pay online at
https: /ipn.intuit.com /3z6rd2c
Subtotal $105.80
Sales '['ax (0.0 $0.00
Total $105.80
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jacob Dietz
IN SUM OF
2708 East Michigan Street
Indianapolis, IN 46201
$105.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 52591 43- 509.00 $105.80 1 hereby certify that the attached invoice(s), or
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
DEC 13 2010
1 z n
r
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
52591 $105.80
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
,20
Clerk- Treasurer
J "JAcoB_DiETz, INC. Invoice
F I RE P R O T E C T I ON 5 P E C I A L 1 5 T S
2708 E=ast Michigan Street Date Invoice
Indianapolis, IN 46201
317- 631 -2304 Fax 317- 631 -3117 11/21/2010 8007
Bill To: Ship To:
Carmel Utilities City of Carmel HEW
760 3rd Avenue SW 901 Rangeline Road
Carmel, M 46032 Carmel, IN 46032
P.O. No. Work Order Terms Due Date Rep Project
11/21/2010 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 8.50 1.7.00
Pay online at
https://paymentnetwork.intuit.com/login/qb
Subtotal $107.00
Sales Tax (0.0 $0.00
Total $107.00
r
VOUCHER 106645 WARRANT ALLOWED
351351 IN SUM OF
JACOB- DIETZ, INC.
2708 E. Michigan St
Indianapolis, IN 46201
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
8007 01- 720H -08 $17.00
8007 01- 736H -08 $90.00
Voucher Total $107.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
351351
JACOB- DIETZ, INC. Purchase Order No.
2708 E. Michigan St Terms
Indianapolis, IN 46201 Due Date 11/29/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/29/201( 8007 $107.00
I hereby certify that the attached invcice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer