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Home My WebLink About334091 01/04/19 (9, CITY OF CARMEL, INDIANA VENDOR: 00351351 ONE CIVIC SQUARE JACOB-DIETZ, INC CHECKAMOUNT: $*****1,520.90* CARMEL, INDIANA 46032 130 S EWING ST CHECK NUMBER: 334091 INDIANAPOLIS IN 46201 CHECK DATE: 01/04/19 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350900 69047 1,225.90 OTHER CONT SERVICES 1120 4350900 69687 295.00 OTHER CONT SERVICES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 00351351 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER JACOB-DIETZ, INC IN SUM OF$ 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,prioe per unit,etc. INDIANAPOLIS, IN 46201 Payee $1,520.90 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 69047 43-509.00 $1,225.90 1 hereby certify that the attached invoice(s),or 10/23/18 69047 Extinguisher Inspection $1,225.90 1120 101 Prior Year 1120 101 69687 43-509.00 $295.00 bill(s)is(are)true and correct and that the 12/14/18 69687 Sta.44 Fire Protection System $295.00 1120 1 101 1 Prior Year materials or services itemized thereon for 1120 101 which charge is made were ordered and received except Thursday,January 3,2019 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 JDJACOB-nETZ, 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 12/14/2018 69687 Bill To: Ship To: Cannel Fire Department Fire Station#44 2 Civic Square 5032 E. Main Street Carmel IN 46032 Carmel IN 46033 ------ - -— -- ---- - ----- — - --- - --Sales Rep -- ---- - — - --- P.O.No. Work Order# Terms Due Date Rep Project 27149 Net 30 1/13/2019 RDJ Fire Station#44 Quantity Description Rate Amount 1 Semi-annual inspection of FM200 fire protection system 295.00 295.00 Subtotal $295.00 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 $295.00 JDJACOB-nETZ, INC. Invoice PROTECTION SPECIALISTS 130 South Ewing St Date Invoice# Indianapolis,IN 46201 317-631-2304 Fax 317-631-3117 10/23/2018 69047 Bill To: Ship To: Carmel Fire Department Carmel Fire department 2 Civic Square One Civic Square Carmel IN 46032 Carmel IN 46032 Sales Rep P.O.No. Work Order# Terms Due Date Rep Project 03617 Net 30 12/28/2018 MRD Carmel Fire Departm... Quantity Description Rate Amount 147 Fire Extinguisher annual inspection 3.00 441.00 1 5#ABC 6 year maintenance 10.00 10.00 2 5#ABC recharge 15.50 31.00 2 10#ABC recharge 25.50 51.00 1 10#ABC hydrotest 17.65 17.65 1 20#ABC hydrotest 23.65 23.65 2 2 1/2 gallon water mist recharge 38.00 76.00 1 2-1/2 Gallon Water Mist Test&Recharge 51.50 51.50 1 6 Liter K test&recharge(Amerex) 105.00 105.00 2 20#CO2 test&recharge 31.00 62.00 1 15#CO2 test&recharge 31.00 31.00 1 2 1/2G H2O (Bad Base) 0.00 0.00 10 Pull Pin 4.05 40.50 2 10#hose band 10.00 20.00 3 Badger stem 10.95 32.85 1 Badger Stem 10.95 10.95 2 Amerex stem 10.95 21.90 2 Amerex stem 10.95 21.90 1 Wet Chemical Gauge 19.50 19.50 3 CO2 Neck o-ring 2.50 7.50 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 1 JDJACOB-EXETZ, INC. Invoice PROTECTION SPECIALISTS 130 South Ewing St Date Invoice# Indianapolis,IN 46201 317-631-2304 Fax 317-631-3117 10/23/2018 69047 Bill To: Ship To: Carmel Fire Department Carmel Fire department 2 Civic Square One Civic Square Carmel IN 46032 Carmel IN 46032 Sales Rep P.O.No. Work Order# Terms Due Date Rep Project 03617 Net 30 12/28/2018 MRD Carmel Fire Departm... Quantity Description Rate Amount 3 Amerex safety disc 15.50 46.50 3 Amerex CO2 stem 12.50 37.50 5 OR29 Neck o-ring 3.25 16.25 4 Neck o-ring 3.25 13.00 2 CO2 Neck o-ring 3.25 6.50 3 CO2 hose continuity test 2.50 7.50 1 15#CO2 Hose Band 15.65 15.65 6 Hazardous Material Communication Label 0.70 4.20 6 UN1044 DOT Label 0.65 3.90 Subtotal $1,225.90 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 $1,225.90 Page 2