HomeMy WebLinkAbout179270 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 00351351 Page 1 of 1
ONE CIVIC SQUARE JACOB- DIETZ, INC
CHECK AMOUNT: $419.00
CARMEL, INDIANA 46032 2708 E MICHIGAN ST
INDIANAPOLIS IN 46201 CHECK NUMBER: 179270
CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
'120 4350900 7790 312.00 OTHER CONT SERVICES
651 5023990 7791 107.00 OTHER EXPENSES
JD JAcoB_DiETz, INC. I n V Q I C e
P H U T k C i ION S P E C I A L I S I S
2708 East Michigan Street Date Invoice
Indianapolis, IN 46201
10/23/2009 7791
317- 631 -2304 Fax 31.7- 631 -3117
Bill To: Ship To:
Carmel Utilities City of Carmel HHW
760 3rd Avenue SW 901 Rangeline Road
Carmel, IN 46032 Carmel, IN 46032
P.O. No. Work Order Terms Due Date Rep Project
10/23/2009 Carmel Utilities
Quantity Description Rate Amount
1 Semi annual inspection of dry chemical Fire Protection system for 90.00 90.00
2 Fusible Link 212 Degree 8.50 17.00
Subtotal $107.00
Sales Tax (0.0 $0.00
Total $107.00
Prescribed by State Board of Accounts City Form No. 241 (Rev 1995)
r•
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, }rind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee �I
351351
JACOB- DIETZ, INC. Purchase Order No.
2708 E. Michigan.St Terms
Indianapolis, IN 46201 Due Date 11/2/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount.
11/2/2009 7791 $107.00
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
Date Officer
VOUCHER 096673 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
7791 01- 720H -08 $17.00
7791 01- 736H -08 $90.00
Voucher Total $107.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
'F
JD JACOB,nETZ, INC. InVoICe
1' K O 1@ C I I ON S P EC I A L 1 5 IS
2708 East Michigan Street Date Invoice
Indianapolis, IN 46209
317- 631 -2304 Fax 317- 631 -3117 10/23/2009 7790
Bill To: Ship To:
City of Carmel Fire Department
One Civic Square
Carmel, IN 46032
P.O. No. Work Order Terms Due Date Rep Project
10/23/2009
Quantity Description Rate Amount
1 Semi annual inspection of kitchen hood fire system for station 41 58.00 58.00
2 Fusible links 8.00 16.00
1 Semi annual inspection of kitchen hood fire system for station 45 58.00 58.00
2 Fusible links 8.00 16.00
1 Semi- annual inspection of kitchen hood fire system for station 46 58.00 58.00
3 Fusible links 8.00 24.00
1 Semi annual inspection of kitchen hood fire system for station 42 58.00 58.00
3 Fusible links 8.00 24.00
Subtotal $312.00
Sales Tax (0.0 $0.00
Total $312.00
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))
7790 $312.00
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. WARR NO.
ALLOWED 20
Ja(:,ob Dietz
IN SUM OF
1, East Michigan Street
Indianapolis, IN 46201
$312.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 7790 43- 509.00 $312.00 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
Nov
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund