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Home My WebLink About186386 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 00351351 Page 1 of 1 ONE CIVIC SQUARE JACOB- DIETZ, INC CHECK AMOUNT: $1,491.80 CARMEL, INDIANA 46032 2708 E MICHIGAN ST INDIANAPOLIS IN 46201 CHECK NUMBER: 186386 CHECK DATE: 6/9/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239099 50440 34.30 OTHER MISCELLANOUS 651 5023990 S12013 7913 670.50 EXTINGUISHER PARTS AN 1120 4350900 7914 787.00 OTHER CONT SERVICES k JACOB I IETZ, INC. Invoic FIRE PROTECTION SPEC I A L I S T S 2708 East Michigan Street Date Invoice Indianapolis, IN 46201 317- 631 -2304 Fax 317- 631 -3117 10127/2009 50440 Sill To: Ship To: Carmel Police Department Carmel Police Department 3 Civic Square 3 Civic Square Carmel, IN 46032 Carmel, 1N 46032 P.O. No. Work Order Terms Due Date Rep Project 10!27/2009 Carmel Police Depar... Quantity Description Rate Amount 2 54 ABC recharge 15.50 31.00 2 OR27 Neck o -ring 1.15 2.30 2 Pull Pin 0.50 1.00 Payment is Due ........,.,,,eh ?AMERIUW n V 1 `I E7�RE55` Yellow is JDl copy please sign. oUev— Subtotal $34.30 White is delivery copy for Customer. Pi�� prey Sales Tax (0.0 $0.00 TOM $34.30 Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 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. Payee Jacob— Dietz, Inc. Purchase Order No. 2708 East Michigan Street Terms Indianapolis, IN 46201 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 10/27/09 50440 payment for fire extinguisher services 34.30 Total 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 -1.5. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Jacob Dietz, Inc IN SUM OF 2708 East Michigan Street Indianapolis, IN 46201 34.30 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members o a INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or 1110 50440 390 -99 34.30 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 June 3 20 10 -4aA A Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund JDJACOB-DETZ, INC. Invoice FIRE PROTECTION SPECIALISTS 2708 East Michigan Street Date Invoice Indianapolis, IN 46201 317 -631 -2304 Fax 317- 631 -311.7 5/21/2010 7914 Bill To: Ship To: City of Carmel Fire Department One Civic Square Carmel, IN 46032 P.O. No. Work Order Terms Due Date Rep Project 5/25/2010 Quantity Description Rate Amount 1 Semi annual inspection of kitchen hood fire system for station 41 .80.00 80.00 2 Fusible links 5.00 10.00 1 Semi annual inspection of kitchen hood fire system for station 45 80.00 80.00 2 Fusible links 5.00 10.00 1 Semi -annual inspection of kitchen hood fire system for station 46 80.00 80.00 3 Fusible links 5.00 15.00 1 Semi- annual inspection of kitchen hood fire system for station 42 80.00 80.00 3 Fusible links 5.00 15.00 1 Hydrotest, recharge, regulator test of cylinder for Station 441 385.00 385.00 1 Hose assembly 32.00 32.00 Subtotal $787.00 Sales Tax (0.0 $0 Total- 787.00 VOUCHER NO. WARRANT NO. ALLOWED 20 Jacob Dietz IN SUM OF 2708.Fast Michigan Street Indianapolis, IN 46201 $787.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 7914 43- 509.00 $787.00 1 hereby certify that the attached invoice(s), or 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 jUN 2010 3� e Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 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. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 7914 $787.00 1 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 Clerk- Treasurer h J DJACOB-nETZ, INC. Invoice FIRE PROTECTION SPECIALISTS 2708 East Michigan Street Date Invoice Indianapolis, IN 46201 317 -631 -2304 Fax 317- 631 -3117 5/21/2010 7913 Bill To: Ship To: Carmel Utilities City of Carmel HHW 760 3rd Avenue SW 901 Rangeline Road Carmel, IN 46032 Carmel, IN 46032 P.O. No. Work Order Terms Due Date Rep Project 5/21/2010 Carmel Utilities Quantity Description Rate Amount 1 Semi annual inspection of dry chemical Fire Protection system for HH`vV 90.00 90.00 trailer 2 Quick Response Fusible Link 212 degree 8.50 17.00 1 IND 21 ABC cylinder 495.00 495.00 1 Cylinder actuator 68.50 68.50 Subtotal $670.50 Sales Tax (0.0 $0.00 Total $670.50 .,VOUCHER 10556.1 WARRANT ALLOWED 351351 IN SUM OF JACOB- DIETZ, INC. 2708 E. Michigan St Indianapolis, IN 46201 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 7913 01- 720H -08 $580.50 7913 01- 736H -08 $90.00 Voucher Total $670.50 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL I T An invoice or bill to be properly itemized must show, kind of service, where I performed, dates of service rendered, by whom, rates per day, number of units, i price per unit, etc. Payee 351351 JACOB- DIETZ, INC. Purchase Order No. 2708 E. Michigan St Terms Indianapolis, IN 46201 Due Date 6/1/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/11/2010 7913 $670.50 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 Date Officer