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Home My WebLink About308580 02/28/17 i u�..F4gM ® �. CITY OF CARMEL, INDIANA VENDOR: 00351351 *;* , , t �; ONE CIVIC SQUARE JACOB-DIETZ, INC CHECK AMOUNT: $ 561.70 ?a CARMEL, INDIANA 46032 130 S EWING ST CHECK NUMBER: 308580 9Mi` �� INDIANAPOLIS IN 46201 CHECK DATE: 02/28/17 «ON DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 63848 453.70 BUILDING REPAIRS & MA 651 5023990 63850 108.00 OTHER EXPENSES JDJACOB-DIETZ, 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 1/19/2017 63850 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 26785 Net 30 2/18/2017 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 Subtotal $108.00 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 $108.00 VOUCHER # 167207 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 63850 01-720H-08 18.00 63850 01-736H-08 90.00 Voucher Total 108.00 Y4 Cost distribution ledger classification if claim paid under vehicle highway fund VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 00351351 JACOB-DIETZ, INC IN SUM OF$ CITY OF CARMEL 130 S EWI NG ST 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. INDIANAPOLIS, IN 46201 Payee $453.70 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 63848 43-501.00 $453.70 1 hereby certify that the attached invoice(s),or 2/17/17 63848 $453.70 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 Friday, February 17,2017 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 J20— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer JDJACOB,DIETZ, INC. Invoice F I R E PROTECTION SPEC IALISTS 130 South Ewing St Date Invoice# Indianapolis,IN 46201 317-631-2304 Fax 317-631-3117 1/19/2017 63848 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 31527,529,528,530 Net 30 2/18/2017 RWA 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 1 Ansul Cartridge Gasket 7.80 7.80 1 Burst Disc 11.25 11.25 I Semi-annual inspection-of kitchen hood fire-system for station- #45 58.00 58:00 2 Fusible links 8.00 16.00 1 Ansul.rubber nozzle cap 8.50 8.50 1 Ansul Cartridge Gasket 7.80 7.80 1 Burst Disc 11.25 11.25 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 Burst Disc 11.25 11.25 1 Semi-annual inspection of kitchen hood fire system for station #42 58.00 58.00 3 Fusible links 8.00 24.00 1 Ansul Cartridge Gasket 7.80 7.80 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 s jDjAcoBam, INc. Invoice PROTECTION SPECIALISTS 130 South Ewing St Date Invoice# Indianapolis,IN 46201 317-631-2304- Fax 317-631-3117. 1/19/2017 63848 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 31527,529,528,530 Net 30 2/18/2017 RWA Carmel Fire Departm... Quantity Description Rate Amount 3 Ansul rubber nozzle cap 8.50 25.50 1 Burst Disc 11.25 11.25 Subtotal $453.70 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 $453.70 Page 2