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Home My WebLink About240024 12/09/14 1 CAA ,1�u....,,,Hf J/ CITY OF CARMEL, INDIANA VENDOR: 00351351 ONE CIVIC SQUARE JACOB-DIETZ, INC CHECK AMOUNT: $*******521.05* ,. ,?�; CARMEL, INDIANA 46032 130 S EWING ST CHECK NUMBER: 240024 +,;,....,:-� INDIANAPOLIS IN 46201 CHECK DATE: 12/09/14 «ON� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350900 60147 209.05 OTHER CONT SERVICES 1120 4350100 8998 312.00 BUILDING REPAIRS & MA JDJACOBDIETZ, INC. Invoice PROTECTION SPEC I A L I STS 130 South Ewing St. Date Invoice# Indianapolis,IN 46201 317-631-2304 Fax 317-631-3117 12/1/2014 8998 Bill To: Ship To: City of Carmel Fire Department One Civic Square Carmel, IN 46032 P.O.No. Work Order# Terms Due Date Rep Project 331217,31218,31219,31... 12/1/2014 Quantity Description Rate Amount 1 Semi-annual inspection of kitchen hood fire system for station 41 58.00 58.00 2 Fusible links 8.00 16.00 1 Semi-annual inspection of kitchen hood fire system for station 45 58.00 58.00 2 Fusible links 8.00 16.00 1 Semi-annual inspection of kitchen hood fire system for station 46 58.00 58.00 3 Fusible links 8.00 24.00 1 Semi-annual inspection of kitchen hood fire system for station 42 58.00 58.00 3 Fusible links 8.00 24.00 Subtotal $312.00 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 $312.00 i - VOUCHER NO. WARRANT NO. ALLOWED 20 Jacob Dietz IN SUM OF $ 130 S. Ewing Street Indianapolis, IN 46201 $312.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 8998 43-501.00 $312.00 1 hereby certify that the attached invoice(s), or bill(s) is(are)true and correct and that the I materials or services itemized thereon for which charge is made were ordered and received except DEC -- 8 2014 �q - �' Fire Chief Title I 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)) 8998 $312.00 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 JDJACOB-nETZ, INC. Invoice FIRE 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!12/2014 60147 Bill To: Ship To: Carmel Fire Department Carmel Fire department 2 Civic Square One Civic Square Carmel IN 46032 Carmel IN 46032 P.O.No. Work Order# Terms Due Date Rep Project. 32116,32111 11/12/2014 RDJ Carmel Fire Departm... Quantity Description Rate Amount 1 Fire Extinguisher annual inspection 3.00 3.00 1 20#ABC recharge 40.50 40.50 1 6 Liter K recharge Amerex 85.00 85.00 1 2-1/2 Gallon water recharge 8.10 8.10 1 5#ABC recharge 15.50 15.50 1 Pull Pin 1.75 1.75 2 Hazardous Material Communication Label 0.70 1.40 1 Amerex stem 9.00 9.00 1 Valve Stem for K 13.40 13.40 1 Badger Stem 9.50 9.50 3 OR29 Neck o-ring 1.30 3.90 1 Truck charge 18.00 18.00 Pay online at: https://ipn.intuit.com/jp6wtdw3 Subtotal $209.05 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 $209:05 VOUCHER NO. WARRANT NO. ALLOWED 20 Jacob Dietz IN SUM OF$ 130 S. Ewing Street Indianapolis, IN 46201 $209.05 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 1120 60147 43-509.00 $209.05 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 - 8 9014 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund i I 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)) 60147 $209.05 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 5-11-10-1.6 120- Clerk-Treasurer 20Clerk-Treasurer