HomeMy WebLinkAbout302937 09/12/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 00351351
ONE CIVIC SQUARE JACOB-DIETZ, INC CHECK AMOUNT: $***'1,137.10"
CARMEL, INDIANA 46032 130 S EWING ST CHECK NUMBER: 302937
INDIANAPOLIS IN 46201 CHECK DATE: 09/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 62976 517.10 BUILDING REPAIRS & MA
1120 4350900 62977 620.00 OTHER CONT SERVICES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
JACOB-DIETZ, INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
130 S EWING ST IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46201 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$1,137.10 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
62976 43-501.00 $517.10 1 hereby certify that the attached invoice(s),or 8/31/16 62976 Hood System PM-41,43,45,46 $517.10
1920 101 1120 101
62977 43-509.00 $620.00 bill(s)is(are)true and correct and that the 8/31/16 62977 $620.00
1120 1 1 101 1 materials or services itemized thereon for 1120 101
which charge is made were ordered and
received except
Friday, September 02,2016
David Haboush
Fire Chief
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—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
JDJacor-D�ETZ, INC. Invoice
FIRE PROTECTION S,P E C IAL ISTS
130 South Ewing St. - Date Invoice#
Indianapolis,IN 46201
317-631-2304 Fax 317-631-3117 7/30/2016 62976
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
31447,31449,31448,31450 Net 30 8/29/2016 BJK Carmel Fire Departm...
Quantity Description Rate Amount
1 Semi-annual inspection of kitchen hood fire system for station 41 58.00 58.00
2 500 Degree Fusible link 11.00 22.00
5 Ansul rubber nozzle cap 8.50 42.50
1 Ansul Cartridge Gasket . 7.80 7.80
1- Semi-annual inspection of kitchen hood fire system for station 45 58.00 58.00
2 Fusible links 8.00 16.00
5 Ansul rubber nozzle cap 8.50 42.50
1 Ansul Cartridge Gasket 7.80 7.80
1 Semi-annual inspection of kitchen hood fire system for station 46 58.00 58.00
3 Fusible links 8.00 24.00
3 Ansul rubber nozzle cap 8.50 25.50
1 Ansul Cartridge Gasket 7.80 -7.80
1 Semi-annual inspection of kitchen hood fire system for station 42 58.00 58.00
3 Fusible links 8.00 24.00
4 Ansul Cartridge Gasket 7.80 31.20
4 Ansul rubber nozzle cap 8.50 34.00
Subtotal $517.10
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 $517.10
JDJACOB-nETZ, INC. Invoice
PROT E CT I ON S P E C I A L I ST S
130 South Ewing St Date Invoice#
Indianapolis,IN 46201
317-631-2304 Fax 317-631-3117 7/30/2016 62977
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
26438 Net 30 8/29/2016 Carmel Fire Departm...
Quantity Description Rate Amount
Fire Station 41
1 3 Gallon Ansulex Wet Chemical - 250.00 250.00
1 Ansul 3 Gallon Cylinder 275.00 275.00
1 Hour Labor 95.00 95.00
Subtotal $620.00
Sales Tag(0.0%) $0.00
If not paid by due date,late charges will be assessed at the rate of 1.5%per month. Total $620.00