160934 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 00351351 Page 1 of 1
0 ONE CIVIC SQUARE JACOB- DIETZ, INC CHECK AMOUNT: $148.85
CARMEL, INDIANA 46032 2708 E MICHIGAN ST
INDIANAPOLIS IN 46201 CHECK NUMBER: 160934
CHECK DATE: 6/25/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
-:1120 4350900 48162 30.15 OTHER CONT SERVICES
'.1120 4350900 48241 57.50 OTHER CONT SERVICES
11.10 4239099 48288 61.20 OTHER MISCELLANOUS
J 1JJAC%'- )JnD-DETZ, INC. Invoice
FIRE PROTECTION SPECIALISTS
2708 East Michigan Street Date Invoice
Indianapolis, IN 46201
317- 631 -2304 Fax 317 -631 -3117 6/11/2008 48288
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
6/11/2008 Carmel Police Depar...
Quantity Description Rate Amount
7 Fire Extinguisher annual inspection 2.50 17.50
1 104 ABC recharge 19.90 19.90
1 5# ABC recharge 13.50 13.50
2 OR27 Neck o -ring 1.15 2.30
1 Kidde stem 4.00 4.00
1 Amerex stem 4.00 4.00
Subtotal $61.20
Sales Tax (0.0 $0.00
Total $61.20
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
s 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
Jacob' Dietz. Inc Purchase Order No.
2708 E. Michigan Street Terms
Indianapolis, IN 46201 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/11/08 48288 pa for fire extinguisher service 61.20
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
J4cob- Dietz, Inc.
IN SUM OF
2708 East Michigan Street
Indianapolis, IN 46201
61.20
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 48288 390 -99 61.20 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
June 20 20 08
.1.J
Signature
Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund
J"
JACOB aETZ, INC. Invoice
FIRE PROTECTION SPECIALISTS
2708 East Michigan Street Date Invoice
Indianapolis, IN 46201
317- 631 -2304 Fax 317 -631 -3117 5/16/2008 48162
Bill To: Ship To:
Carmel Fire Department New Ambulance
2 Civic Square
Carmel, IN 46032
P.O. No. Work Order Terms Due Date Rep Project
5/16/2008 Carmel Fire Departm...
Quantity Description Rate Amount
1 20# ABC recharge 25.00 25.00
1 OR29 Neck o -ring 1.15 1.15
1 Amerex stem 4.00 4.00
Yellow is JDl copy please sign.
White is delivery copy for Customer. Subtotal $30.15
Sales Tax (0.0 $0.00
Total $30.15
I
J"
JACOB,nETZ, INC. (z�� P ,��a I
FIRE PROTECTION 5PECIALISTS jet
2708 East Michigan Street tl 5 E Date Invoice
Indianapolis, IN 46201
317 -631 -2304 Fax 317- 631 -3117 6/3/2008 48241
Bill To: Ship To:
Carmel Fire Department
2 Civic Square
Carmel, IN 46032
P.O. No. Work Order Terms Due Date Rep Project
6/3/2008 Carmel Fire Departm...
Quantity Description Rate Amount
3 10# ABC recharge 14.60 43.80
3 OR27 Neck o -ring 1.15 3.45
1 Amerex stem 3.75 3.75
2 Kidde stem 3.25 6.50
Yellow is JDI copy please sign. Subtotal $57.50
White is delivery copy for Customer.
Sales Tax (0.0 $0.00
Total $57.50
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))
05/16/08 48162 Recharge Fire Ext. $30.15
06/03/08 48241 Recharge Fire Ext. $57.50
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 N
ALLOWED 20
Ja��ob Dietz
IN SUM OF
2708 East Michigan Street
Indianapolis, IN 46201
$87.65
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 48162 43- 509.00 $30.15 1 hereby certify that the attached invoice(s), or
1120 48241 43- 509.00 $57.50
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
r
U
0
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund