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Home My WebLink About305596 11/28/16 04% 4 p' CITY OF CARMEL, INDIANA VENDOR: 00351351 �, ONE CIVIC SQUARE JACOB-DIETZ, INC CHECK AMOUNT: $*'***1,967.60* �_� CARMEL, INDIANA 46032 130 S EWING ST CHECK NUMBER: 305596 .y��TON�' INDIANAPOLIS IN 46201 CHECK DATE: 11/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350900 61771 133.20 OTHER CONT SERVICES 1120 4350900 62009 34.95 OTHER CONT SERVICES 1120 4350900 62010 54.45 OTHER CONT SERVICES 1120 4350900 62734 47.40 OTHER CONT SERVICES 1120 4350900 63337 1,697.60 OTHER CONT SERVICES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) JACOB-DIETZ, INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 130 S EWING ST IN SUM OF$ 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. $1,967.60 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 63337 43-509.00 $1,697.60 1 hereby certify that the attached invoice(s),or 11/17/16 63337 $1,697.60 1120 101 1120 101 61771 43-509.00 $133.20 bill(s)is(are)true and correct and that the 11/17/16 62734 $47.40 1120 101 materials or services itemized thereon for 1120 101 62010 43-509.00 $54.45 11/17/16 62009 $34.95 1.120 101 which charge is made were ordered and 1120 101 62009" 43-509.00 $34.95 received except 11/17/16 62010 $54.45 1120 101 1120 101 62734 43-509.00 $47.40 11/17/16 61771 $133.20 1120 101 1120 101 Friday, November 18,2016 _,�- . David Haboush Fire Chief 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 JDJACOB-nETZ, INC. Invoice PROTECT] ON SPEC I A L I STS 130 South Ewing St. Date Invoice# 317-631-2304 Fax 317-631-3117 9/30/2016 63337 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 34803,34804,34806,34805... Net 30 10/30/2016 JWR Carmel Fire Departm... Quantity Description Rate Amount Station#41 61 Fire Extinguisher annual inspection 3.00 183.00 1 6 Liter K test&recharge(Amerex) 105.00 105.00 1 20#ABC hydrotest 23.65 23.65 1 20#ABC 6 year maintenance 20.00 20.00 1 20#ABC recharge 35.50 35.50 1 104 ABC hydrotest 17.65 17.65 1 59 ABC recharge 15.50 15.50 1 2-1/2 Gallon water condemned 0.00 0.00 4 OR29 Neck o-ring 1.30 5.20 3 Amerex stem 9.00 27.00 1 Valve Stem for K 13.40 13.40 2 Neck o-ring 1.30 2.60 1 Badger stem 8.50 8.50 1 Kidde stem 8.00 8.00 1 195 PSI dry chemical gauge 7.50 7.50 2 Hazardous Material Communication Label 0.70 1.40 5 UN 1044 DOT Label 0.65 3.25 1 10#hose band 4.25 4.25 1 20#hose band 5.25 5.25 Subtotal Sales Tax (0.0%) If not paid by due date,late charges will be assessed at the rate of 1.5%per month. Total Page 1 JDJACOB nETZ, INC. Invoice F I R E 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# 317-631-2304 Fax 317-631-3117 9/30/2016 63337 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 34803,34804,34806,34805... Net 30 10/30/2016 JWR Carmel Fire Departm... Quantity Description Rate Amount Station#42 19 Fire Extinguisher annual inspection 3.00 57.00 2 2-1/2 Gallon Water hydrotest&recharge 19.00 38.00 2 OR29 Neck o-ring 1.30 2.60 2 Amerex stem 9.00 18.00 1 100 psi gauge(water) 9.50 9.50 2 Hazardous Material Communication Label 0.70 1.40 Station#43, 3243 E. 106th Street 13 Fire Extinguisher annual inspection 3.00 39.00 1 15#CO2 test&recharge 31.00 31.00 1 2-1/2 Gallon Water hydrotest&recharge 19.00 19.00 1 OR29 Neck o-ring 1.30 1.30 1 Amerex stem 9.00 9.00 1 Hazardous Material Communication Label 0.70 0.70 1 20#hose band 5.25 5.25 1 Ansul safety disc assembly 13.00 13.00 1 418682 Valve stem 13.50 13.50 1 CO2 hose continuity test 1.50 1.50 Subtotal Sales Tax (0.0%) If not paid by due date,late charges will be assessed at the rate of 1.5%per month. Total Page 2 JDJACOB-nETZ, INC. Invoice PROTECTI ON SPECIALISTS 130 South Ewing St Date Invoice# 317-631-2304 Fax 317-631-3117 9/30/2016 63337 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 34803,34804,34806,34805... Net 30 10/30/2016 JWR Carmel Fire Departm... Quantity Description Rate Amount Station#44 7 Fire Extinguisher annual inspection 3.00. 21.00 1 20#CO2 test&recharge 31.00 31.00 1 2-1/2 Gallon Water hydrotest&recharge 19.00 19.00 1 OR29 Neck o-ring 1.30 1.30 1 Ansul stem 9.00 9.00 1 Hazardous Material Communication Label 0.70 0.70 1 UN1044 DOT Label 0.65 0.65 1 Air Valve for water ext 3.50 3.50 1 CO2 Neck o-ring 2.50 2.50 1 Amerex CO2 stem 12.50 12.50 1 Amerex safety disc 12.75 12.75 1 CO2 hose continuity test 1.50 1.50 Station#45 26 Fire Extinguisher annual inspection 3.00 78.00 1 20#CO2 test&recharge 31.00 31.00 1 2-1/2 Gallon Water hydrotest&recharge 19.00 19.00 1 10#ABC recharge 25.50 25.50 Subtotal Sales Tax(0.0%) If not paid by due date,late charges will be assessed at the rate of 1.5%per month. Total Page 3 JDJACOB-DIETZ, INC. Invoice FIRE PROTECTION SPEC I A L I STS 130 South Ewing St. Date Invoice# 317-631-2304 Fax 317-631-3117 9/30/2016 63337 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 34803,34804,34806,34805... Net 30 10/30/2016 JWR Carmel Fire Departm... Quantity Description Rate Amount 1 6 Liter K test&recharge(Amerex) 105.00 105.00 2 OR29 Neck o-ring 1.30 2.60 2 Ansul stem 9.00 18.00 1 Neck o-ring 1.30 1.30 1 Badger stem 8.50 8.50 1 Hazardous Material Communication Label 0.70 0.70 1 CO2 Neck o-ring 2.50 2.50 1 Amerex CO2 stem 12.50 12.50 1 Amerex safety disc 12.75 12.75 1 CO2 hose continuity test 1.50 1.50 Station#46 20 Fire Extinguisher annual inspection 3.00 60.00 2 20#ABC 6 year maintenance 20.00 40.00 2 5#ABC hydrotest 13.65 27.30 2 Neck o-ring 1.30 2.60 2 Kidde stem 8.00 16.00 2 OR29 Neck o-ring 1.30 2.60 2 Amerex stem 9.00 18.00 2 5#hose band 3.50 7.00 Subtotal Sales Tax(0.0%) If not paid by due date,late charges will be assessed at the rate of 1.5%per month. Total Page 4 INC. Invoice JDJACOB-nETZ, PROTECTION SPECIALISTS 130 South Ewing St Date Invoice# 317-631-2304 Fax 317-631-3117 9/30/2016 63337 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 34803,34804,34806,34805... Net 30 10/30/2016 JWR Cannel Fire Departm... Quantity Description Rate Amount 4 Hazardous Material Communication Label 0.70 2.80 4 UN1044 DOT Label 0.65 2.60 Training Building 14 Fire Extinguisher annual inspection 3.00 42.00 2 15#CO2 test&recharge 31.00 62.00 1 6 Liter K test&recharge(Amerex) 105.00 105.00 1 2-1/2 Gallon Water hydrotest&recharge 19.00 19.00 1 5#ABC 6 year maintenance 10.00 10.00 1 Neck o-ring 1.30 1.30 1 Amerex stem 8.00 8.00 2 OR29 Neck o-ring 1.30 2.60 1 Amerex stem 9.00 9.00 1 Valve Stem for K 13.40 13.40 1 Hazardous Material Communication Label 0.70 0.70 2 UN1044 DOT Label 0.65 1.30 1 20#hose band 5.25 5.25 2 CO2 Neck o-ring 2.50 5.00 2 Amerex safety disc 12.75 25.50 2 Amerex CO2 stem 12.50 25.00 Subtotal Sales Tax(0.0%) If not paid by due date,late charges will be assessed at the rate of 1.5%per month. Total Page 5 JDJACOB-DETZ, INC. Invoice FIRE PROTECTION SPECIALISTS 130 South Ewing St. Date Invoice# 317-631-2304 Fax 317-631-3117 9/30/2016 63337 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 34803,34804;34806,34805... Net 30 10/30/2016 JWR Carmel Fire Departm... Quantity Description Rate Amount 2 CO2 hose continuity test 1.50 3.00 Subtotal $1,697.60 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 $1,697.60 Page 6 JDJACOB,DETZ, INC. Invoice PROT E C T I ON 5 P E C I A L IS TS 130 South Ewing St. Date Invoice# 317-631-2304 Fax 317-631-3117 5/31/2016 62734 Bill To: Ship To: i�' r 7 DUE I 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 34613 Net 30 6/30/2016 JLW Carmel Fire Departm... Quantity Description Rate Amount 1 2-1/2 Gallon water recharge 8.10 8.10 1 OR29 Neck o-ring 1.30 1.30 1 Amerex stem 9.00 9.00 1 100 psi gauge(water) 9.50 9.50 1 2-1/2# Siphon tube 19.50 19.50 Subtotal $47.40 Sales Tax(0.0%) $0.00 Tota(7117) �� $47.40 If not paid by due date,late charges will be assessed at the rate of 1.5%per month. JDJACOB-nETZ, INC. Invoice PROTECTION SPECIALISTS 130 South Ewing St. Date Invoice# 317-631-2304 Fax 317-631-3117 11/30/2015 62009 Bill To: Ship To: IS7,71 '711 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 33384 Net 30 12/30/2015 BJK Carmel Fire Departm... Quantity Description Rate Amount 2 Fire Extinguisher annual inspection 3.00 6.00 1 5#ABC recharge 18.50 18.50 1 Neck o-ring 1.30 1.30 1 Badger stem 8.50 8.50 1 UN1044 DOT Label 0.65 0.65 Subtotal $34.95 Sales Tax(0.0%) $0.00 Tot �;%- �nw DUE $34.95 If not paid by due date,late charges will be assessed at the rate of 1.5%per month. � JDJACOBDIETZ, INC. Invoice PROTECTION SPECIALISTS 130 South Ewing St. Date Invoice# 317-631-2304 Fax 317-631-3117 11/30/2015 62010 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 33693 Net 30 12/30/2015 BJK Carmel Fire Departm... Quantity Description Rate Amount 1 20#ABC recharge 43.50 43.50 1 OR29 Neck o-ring 1.30 1.30 1 Amerex stem 9.00 9.00 1 UN1044 DOT Label 0.65 0.65 Subtotal $54.45 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. -Tot'o AST S T DUE $54.45 INC. Invoice JPJACOB-nETZ, PROTECTI ON SPECIALISTS 130 South Ewing St. Date Invoice# 317-631-2304 Fax 317-631-3117 10/31/2015 61771 Bill To: Ship To: ,duiC Q,, 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 33086 Net 30 11/30/2015 JWR Carmel Fire Departm... Quantity Description Rate Amount 2 New 5#ABC Fire Extinguisher w/vehicle brkt 57.60 115.20 1 Truck charge 18.00 18.00 Subtotal $133.20 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. Tdue �' PAS" DUE $133.20