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HomeMy WebLinkAbout215891 12/25/2012 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: $394.40 INDIANAPOLIS IN 46201 CHECK NUMBER: 215891 CHECK DATE: 12/2512012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350900 56420 394 .40 OTHER CONT SERVICES JDJACOB-DIETZ, INC. Inv®ice P R O T E C T I O N S P E C I A L I S T S 130 South Ewing St Date Invoice# Indianapolis,IN 46201 317-631-2304 Fax 317-631-3117 11/30/2012 56420 Bill To: Ship To: Carmel Fire Department 2 Civic Square Carmel, IN 46032 P.O.No. Work Order# Terms Due Date Rep Project 28359 12/4/2012 Carmel Fire Departm... Quantity Description Rate Amount 2 15#CO2 recharge 16.00 32.00 1 20#ABC recharge 40.50 40.50 2 Vehicle bracket with rubber strap 35.80 71.60 2 New 2.5 Gallon Water Extinguisher 112.50 225.00 1 OR27 Neck o-ring 1.30 1.30 1 Amerex stem 6.00 6.00 1 Truck charge 18.00 18.00 Pay online at: https://ipn.intuit.com/xdfinf4in2 Subtotal $394.40 Sales Tax (0.0%) $0.00 If not paid by due date,late charges will be assessed at the rate of 1.5%per month. 'Total $394.40 VOUCHER NO. WARRANT NO. ALLOWED 20 Jacob Dietz IN SUM OF $ 2708 East Michigan Street Indianapolis, IN 46201 $394.40 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members 1120 I 56420 I 43-509.00 I $394.40 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 DEC 7 29P P U Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 56420 $394.40 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