HomeMy WebLinkAbout304650 10/31/16 1+p1_Cqq��
�;/ � CITY OF CARMEL, INDIANA VENDOR: 00351351
ONE CIVIC SQUARE JACOB-DIETZ, INC CHECK AMOUNT: $*****1,401.04*
xi =a CARMEL, INDIANA 46032 130 S EWING ST CHECK NUMBER: 304650
+y';�TON�, INDIANAPOLIS IN 46201 CHECK DATE: 10/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 63175 497.04 REPAIR PARTS
651 5023990 63221 904.00 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
JACOB-DIETZ, INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
130 S EWING ST IN SUM OF$ 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.
$497.04 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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
63175 42-370.00 $497.04 1 hereby certify that the attached invoice(s),or 10/12/16 63175 $497.04
1120 101 1120 101
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, October 13,2016
Vim _
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
JDJACOB-nETZ, INC. Invoice
FIRE PROTECTION SPECIALISTS
130 South Ewing St Date Invoice#
Indianapolis,IN 46201
317-631-2304 Fax 317-631-3117 8/5/2016 63175
Bill To: Ship To:
Carmel Fire Department Fire Station#41
2 Civic Square
Carmel IN 46032
P.O.No. Work Order# Terms Due Date Rep Project
34738 Net 30 9/4/2016 RWA Fire Station#41
Quantity Description Rate Amount
.12 209 Heavy Duty Bracket 41.42 497.04
Subtotal $497.04
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 $497.04
VOUCHER # 166413 WARRANT # ALLOWED
351351 IN SUM OF $
JACOB-DIETZ, INC.
130 S. EWING STREET
Indianapolis, IN 46201
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
-719•Q°
63221 01-720H-08 _>W_
63221 01-736H-08 185.00
Voucher Total X52
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
351351
JACOB-DIETZ, INC. Purchase Order No.
130 S. EWING STREET Terms
Indianapolis, IN 46201 Due Date 10/18/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/18/201( 63221 256.90
hereby certify that the attached invoice(s), or bill(s) is (are)true and
-orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
INC. Invoice
JDJACOB-nETZ,
PROTECTION SPECIALISTS
130 South Ewing St Date Invoice#
Indianapolis,IN 46201
317-631-2304 Fax 317-631-3117 9/22/2016 63221
Bill To: Ship To:
Carmel Utilities City of Carmel HHW
30 W Main Street#200 901 Rangeline Road
Carmel,Indiana 46032 Carmel, IN 46032
P.O.No. Work Order# Terms Due Date Rep Project
26440 Net 30 10/22/2016 RWA Carmel Utilities
Quantity Description Rate Amount
1 Semi-annual inspection of dry chemical Fire Protection system for 90.00 90.00
HHW trailer
2 Quick Response Fusible Link 212 degree 9.00 18.00
1 21#Kidde Ind Cylinder 585.00 585.00
1 Kidde XV Cartridge 38.00 38.00
1 XV Rebuild Kit 78.00 78.00
1 Hour Labor to replace cylinder 95.00 95.00
Subtotal $904.00
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 $904.00