HomeMy WebLinkAbout228594 1 /28/2014 ,qy CITY OF CARMEL, INDIANA VENDOR. 00351351 Page 1 of 1
ONE CIVIC SQUARE JACOB-DIETZ, INC CHECK AMOUNT: $358.40
CARMEL, INDIANA 46032 130 S EWING ST
** �� INDIANAPOLIS IN 46201 CHECK NUMBER: 228594
CHECK DATE: 1/28/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4351501 58464 358 .40 EQUIPMENT MAINT CONTR
JDJACOB-nETZ,
INC. Inv®ice
F I R E PROTECTION SPEC IALISTS -
130 South Ewing St. (DDate Invoice#
P
Indiana ofis,IN 46201
LLLIII uuu
317-631-2304 Fax 317-631-3117 12/31/2013 58464
Bill To: Ship To:
City of Carmel Carmel City Building
One Civic Square
Carmel, IN 46032
P.O.No. Work Order# Terms Due Date Rep Project
30606 12/31/2013 Carmel City Building
Quantity Description Rate Amount
15 Fire Extinguisher annual inspection 3.00 45.00
6 10#ABC hydrotest 17.65 105.90
4 5#ABC hydrotest 13.65 54.60
2 5#ABC 6 year maintenance 10.00 20.00
1 10#ABC 6 year maintenance 13.00 13.00
13 OR27 Neck o-ring _ 1.30 16.90
6 Amerex stem Building Maintenance 6.00 36.00
7 Badger stem Account # 413,51S 4/ Q.H.B. 7.00 49.00
1 Truck charge Department # 1.2017; 18.00 18.00
Pay online at:
https://ipn.intuit.com/rv94riz9
Submitted To
JAN 2 7 2014
Clerk Treasurer
Subtotal $358.40
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 $358.40
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jacob -Deitz, Inc.
IN SUM OF $
130 S. Ewing Street
Indianapolis, IN 46201
$358.40
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
Prior Year I hereby certify that the attached invoice(s), or
1205 58464 43-515.01 I $358.40
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
Monday, January 27, 2014
Director, Administration
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))
12/31/13 58464 $358.40
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