HomeMy WebLinkAbout109826 JACOB-DIETZ INC
City of Carmel
EachEachEachEachEachEachEachEachEachEachEachEachEachEachEachEachSub Total
Department:Account:Fund:
11111111222221211Admin Fire Protection Inspection AnnualHood System Inspection w/Fusible Link - Sta. 46 x 2Hood System Inspection w/Fusible Link - Sta. 45 x 2Hood System Inspection
w/Fusible Link - Sta. 44 x 2Hood System Inspection w/Fusible Link - Sta. 42 x 2Hood System Inspection w/Fusible Link - Sta. 41 x 2CTC Fire Protecton Inspection AnnualClean Agent
System - Sta. 44 - Semi-Annual InspectionClean Agent - Sta. 44 Cell Tower - Semi-Annual Inspection Annual Fire Extinguisher InspectionsAdmin Monthly Pump Runs 11 x $110$1,600.00$110.00$800.00$720.00
$380.00$720.00$720.00$260.06$260.06$260.06$260.06$260.06$210.00$325.00$726.00$0.00Page 1 of 1$10,336.60$1,600.00$1,210.00$726.00$800.00$720.00$380.00$720.00$720.00$520.12$520.12$520.12$520.12$520.12$
210.00$650.00$0.00
112043-509.00101General Fund
INDIANA RETAIL TAX EXEMPT
Send Invoice To:
funds by Carmel IT PO 109832 Attached
CERTIFICATE NO. 003120155 002 0PURCHASE ORDER NUMBER
Carmel Fire Department
109826
FEDERAL EXCISE TAX EXEMPT
35-6000972
210 Veterans Way
THIS NUMBER MUST APPEAR ON INVOICES, A/P
ONE CIVIC SQUARE
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
CARMEL, INDIANA 46032-2584
Carmel, IN 46032-
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PLEASE INVOICE IN DUPLICATE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTIONDEPARTMENTACCOUNTPROJECTPROJECT
ACCOUNTAMOUNT
Annual Fire Protection Inspections
$10,336.60
PAYMENT
6/19/202300351351
* A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
JACOB-DIETZ, INC Carmel Fire Department
*SHIP PREPAID.
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
VENDORSHIP
130 S EWING ST 210 Veterans Way
*C.O.D. SHIPMENT CANNOT BE ACCEPTED.THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
TO
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
Carmel, IN 46032-
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
INDIANAPOLIS, IN 46201 -
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
Denise SnyderJames Crider
TITLE
78508Accreditation/Budget AdministratorDirector of Administration
109826
CONTROL NO.
CONTROLLER
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION