HomeMy WebLinkAbout217701 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 00351351 Page 1 of 1
ONE CIVIC SQUARE JACOB-DIETZ, INC
CHECK AMOUNT: $41.00
CARMEL, INDIANA 46032 130 S EWING ST
a«o� INDIANAPOLIS IN 46201 CHECK NUMBER: 217701
CHECK DATE: 2126/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 56745 41 . 00 OTHER MISCELLANOUS
INC. Invoice
J"JAcoB-DiETz,
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 1/31/2013 56745
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
28607 1/31/2013 Carmel Police Depart...
Quantity Description Rate Amount
2 5#ABC recharge 15.50 31.00
2 340036K Neck o-ring 2.00 4.00
1 Gauge o-ring 0.75 0.75
1 Kidde stem 5.25 5.25
Pay online at:
https://ipn.intuit.com/mc552br3
Subtotal $41.00
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 $41.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jacob-Dietz, Inc.
, .: IN SUM OF $
130 South Ewing Stre et__
Indianapolis, IN 46201
$41.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 56745 42-390.99 $41.00
I hereby certify that the attached invoice(s), or
I
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
Thursday, February 21, 2013
Chief of Police
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))
01/31/13 56745 fire extinguisher service $41.00
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