158962 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 00351351 Page 1 of 1
ONE CIVIC SQUARE JACOB- DIETZ, INC CHECK AMOUNT: $46.70
j? CARMEL, INDIANA 46032 2708 E MICHIGAN ST
INDIANAPOLIS IN 46201 CHECK NUMBER: 158962
CHECK DATE: 4/30/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER' AMOUNT DESCRIPTION
1110 4239099 48072 46.70 OTHER MISCELLANOUS
Y F JAcoB-DiETz, INC. Invoice
I R E PROTECTION SPECIALISTS
2708 East Michigan Street Date Invoice
Indianapolis, IN 46201
317- 631 -2304 Fax 317 631 -3117 4/16/2008 48072
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
4/16/2008 Carmel Police Depar...
Quantity Description Rate Amount
3 5# ABC recharge 10.50 31.50
3 OR27 Neck o -ring 1.15 3.45
2 Badger stem 4.25 8.50
1 Kidde stem 3.25 3.25
Yellow is 3DI copy please sign.
White is delivery copy for Customer. Subtotal $46.70
Sales Tax (0.0 $0.00
Total $46.70
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
Jacob Dietz, Inc. Purchase Order No.
2708 East Michigan Street Terms
Indianaplis, IN 46201 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/16/08 48072 payment for maintenance on extinguishers 46.70
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
Indianapolis, IN 46201
46.70
ON ACCOUNT OF APPROPRIATION FOR
police genera lfund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 48072 390 -99 46.70 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
April 23 2008
_*"Aa b.
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund