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Home My WebLink About198163 06/06/2011 a CITY OF CARMEL, INDIANA VENDOR: 00351351 Page 1 of 1 ONE CIVIC SQUARE JACOB- DIETZ, INC CHECK AMOUNT: $419.00 CARMEL, INDIANA 46032 2708 E MICHIGAN ST INDIANAPOLIS IN 46201 CHECK NUMBER: 198163 CHECK DATE: 6/6/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 8117 312.00 BUILDING REPAIRS MA 651 5023990 8118 107.00 OTHER EXPENSES JDJAC INC. Invoice OB,nETZ, PROTECTION SPECIALISTS 2708 East Michigan Street Date Invoice Indianapolis, IN 46201 317 -631 -2304 Fax 317 -631 -3117 5/20/2011 8117 Bill To: Ship To: City of Carmel Fire Department One Civic Square Carmel, IN 46032 P.O. No. Work Order #i Terms Due Date Rep Project 5/20/2011 Quantity Description Rate Amount 1 Semi- annual inspection of kitchen hood fire system for station 41 58.00 58.00 2 Fusible links 8.00 16.00 1 Semi annual inspection of kitchen hood fire system for station 45 58.00 58.00 2 Fusible links 8.00 16.00 1 Semi annual inspection of kitchen hood fire system for station 46 58.00 58.00 3 Fusible links 8.00 24.00 1 Semi annual inspection of kitchen hood fire system for station 42 58.00 58.00 3 Fusible links 8.00 24.00 Subtotal $312.00 Sales Tax (0.0 If not paid by due date, late charges will be assessed at the rate of 1.5% per month. Total $312.00 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)) 8117 $312.00 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 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Jacob Dietz IN SUM OF 2708 East Michigan Street Indianapolis, IN 46201 $312.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. I ACCT #FrITLE AMOUNT Board Members T 1120 8117 I 43- 501.00 $312.00 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. -6 20il r a 1 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund J UJACOB-DETZ, INC Invoice FIRE PROTECTION SPECIALISTS 2708 East Michigan Street Date Invoice Indianapolis, IN 46201 317 -631 -2304 Fax 317 -631 -3117 5/20/2011 8118 Bill To: Ship'I'o: 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 5/20/2011 Carmel Utilities Quantity Description Rate Amount 1 Semi annual inspection of dry chemical Fire Protection system for HHW 90.00 90.00 trailer 2 Fusible Link 212 Degree 8.50 17.00 Subtotal $107.00 Sales Tax (0.0 $0.00 a t p. id b� due ate. lat charges will be as �essed at the rate of 1.5% per month. To $107.00 Pay or me at:: littps /JIpn.intuit.com/sw69x6w_ 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 351351 JACOB- DIETZ, INC. Purchase Order No. 2708 E. Michigan St Terms Indianapolis, IN 46201 Due Date 6/1/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/1/2011 8118 $107.00 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 i" /i Cc,." n P 1 1— (1Lc"' Date Officer VOUCHER 115186 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 o(. 2() (j .o 8 8118 G u- H $17.00 8118 01- 0-6H $90.00 D1.�36 N.ng Voucher Total $107.00 Cost distribution ledger classification if claim paid under vehicle highway fund