HomeMy WebLinkAbout167107 12/17/2008 CITY OF CARMEL, INDIANA VENDOR: 00351351 Page 1 of 1
ONE CIVIC SQUARE JACOB- DIETZ, INC
CARMEL, INDIANA 46032 2708 E MICHIGAN ST CHECK AMOUNT: $87.50
INDIANAPOLIS IN 46201 CHECK NUMBER: 167107
CHECK DATE: 12/17/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 48880 87.50 REPAIR PARTS
d
J1JJAC0B-nETZ, INC. Invoice
F I 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
12/8/2008 48880
Bill To: Ship To:
City of Carmel Streets Department
One Civic Square 3400 West 131st Street
Carmel, IN 46032 Westfield, IN 46074
P.O. No. Work Omer Terms Due Date Rep Project
12/8/2008 Streets Department
Quantity Description Rate Amount
1 l Fire Extinguisher annual inspection 2.50 27.50
6 5# spring clip bracket 8.00 48.00
1 Truck charge 12.00 12.00
Subtotal $87.50
Sales Tax (0.0 $0.00
Total $87.50
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))
12/08/08 48880 $87.50
1 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
VOUCHER NO. WARR NO.
ALLOWED 20
Jacob Dietz Inc
IN SUM OF
2708 E. Michigan St.
Indianapolis, IN 46201
$87.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board MemberE
2201 48880 42- 370.00 $87.50 I 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
Friday, December 12, 2008
Street Com is loner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund