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