HomeMy WebLinkAbout224000 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 00351351 Page 1 of 1
ONE CIVIC SQUARE JACOB-DIETZ, INC
�t?o CARMEL, INDIANA 46032 130 S EWING ST CHECK AMOUNT: $239.25
INDIANAPOLIS IN 46201 CHECK NUMBER: 224000
CHECK DATE: 9/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 57876 239 .25 OTHER MISCELLANOUS
DJAcoBDiETz, INc. Invoice
FIRE PROTECTION SPECIALISTS
130 South Ewing St. Date Invoice#
Indianapolis, IN 46201
317-631-2304 Fax 317-631-3117 8/29/2013 57876
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
29687 8/29/2013 Carmel Police Depart...
Quantity Description Rate Amount
6 104 ABC recharge 25.50 153.00
1 2-1/2# ABC recharge 8.50 8.50
5 OR27 Neck o-ring 1.30 6.50
1 428327 Neck o-ring 2.50 2.50
1 340036K Neck o-ring 2.00 2.00
1 Gauge o-ring 0.75 0.75
5 Badger stem 7.00 35.00
1 Kidde Valve Stem 5.00 5.00
l Ansul stem 6.50 6.50
2 Pull Pin 0.75 1.50
1 Truck charge 18.00 18.00
Pay online at:
https://ipn.intuit.cotn/x6ng994 d
6
Subtotal $239.25
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 $239.25
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))
08/29/13 57876 fire extinguisher service $239.25
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jacob-Dietz, Inc.
IN SUM OF $
130 South Ewing Street
Indianapolis, IN 46201
$239.25
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
,
1110 I 57876 I 42-390.99 I $239.25 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
Thursday, September 05, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund