165295 10/29/2008 \,f CITY OF CARMEL, INDIANA VENDOR: 00351351 Page 1 of 1
ONE CIVIC SQUARE JACOB- DIETZ, INC
I, CARMEL, INDIANA 46032 2708 E MICHIGAN ST CHECK AMOUNT: $37.05
INDIANAPOLIS IN 46201
CHECK NUMBER: 165295
CHECK DATE: 10/29/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM OUNT DESCRIPTION
1110 4239099 48750 37.05 OTHER MISCELLANOUS
I
.A
J DJACOB-DETZ, INC. In
FIRE PROTEC TION SPEC IALISTS
2708 East Michigan Street Date Invoice
Indianapolis, IN 46201
317- 631 -2304 Fax 317 -631 -3117 10/23/2008 48750
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
10/23/2008 Carmel Police Depar...
Quantity Description Rate Amount
2 54 ABC recharge 13.25 26.50
2 OR27 Neck o -ring 1.15 2.30
1 Kidde stem 3.75 3.75
1 Badger stem 4.50 4.50
Yellow is JD1 copy please sign.
White is delivery copy for Customer. Subtotal $37.05
Sales Tax (0.0 $0.00
Total $37.05
Prescribed by State Board of Accounts 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 Street Terms
Indianapolis, IN 46201 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
101211OR 48750 e n for repairs to fire extinguisher 37.05
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
J acob Dietz, Inc.
IN SUM OF
2708 East Michigan Street
Indianapoils, IN 46201
37.05
ON ACCOUNT OF APPROPRIATION FOR
p olic e gene fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 48750 390 -99 37.05 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
October 24 2008
nature
Assista Chief of POlice
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund