310565 04/24/17 CITY OF CARMEL, INDIANA VENDOR: 00351351 CHECK AMOUNT: $*******227.25*
} ONE CIVIC SQUARE JACOB-DIETZ, INC ST CHECK NUMBER: 310565
CARMEL, INDIANA 46032 INDIAN PO30 S LIS IN 46201 CHECK DATE: 04/24/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCEQUIPMENT REPAIRS & M
1205 4350000 64215 227.25
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' A C0BDIETZ, INC. Invoice
FIRE PROTECTION SPECIALIST S
130 South Ewing St Date Invoice#
Indianapolis,IN 46201
2/27/2017 64215
317-631-2304 Fax 317-631-3117
Bill To: Ship To:
City of Carmel Carmel City Hall
One Civic Square 1 Civic Square
Carmel,IN 46032 Carmel,IN 46032
P.O.No. Work Order# Terms Due Date Rep Project
35746 Net 30 3/29/2017 MRD Carmel City Hall
QuantityDescription Rate Amount
16 Fire Extinguisher annual inspection 3.00 48.00
1 13#halon 1211 hydrotest 42.35 42.35
1 10#ABC hydrotest 20.65 20.65
1 5#ABC hydrotest 16.65 16.65
2 5#ABC 6 year maintenance15.00 30.00
3 Badger stem Submitted To 8.50 25.50
1 Amerex stem 8.00 8.00
4 Neck o-ring I APR 112017 1.30 5.20
4 UN 1044 DOT Label 0.65 2.60
1 OR29 Neck o-ringCierk Treasurer 1.30 1.30
1 Ameex stem 9.00 9.00
1 Truck charge 18.00 18.00
Building Mainoonce
Account#
Department#
Subtotal $227.25
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 $227.25