HomeMy WebLinkAbout199077 07/06/2011 CITY OF CARMEL, INDIANA VENDOR: 00351351 Page 1 of 1
ONE CIVIC SQUARE JACOB -DIETZ INC
CARMEL, INDIANA 46032 2708 E MICHIGAN ST CHECK AMOUNT: $983.85
INDIANAPOLIS IN 46201 CHECK NUMBER: 199077
CHECK DATE: 7/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239020 53665 983.85 FIRE PREVENTION SUPPL
i JAcoB-DiETz INc. Invoice
F I R E P R O T E C T I O N S P E C I A L I S T S
2708 East Michigan Street Date Invoice
Indianapolis, IN 46201
317 -631 -2304 Fax 317 -631 -3117 6/21/2011 53665
Bill To: Ship To:
City of Carmel Streets Department
One Civic Square 3400 West 131st Street
Carmel, IN 46032 Carmel, IN 46074
P.O. No. Work Order Terms Due Date Rep Project
26239 6/21/2011 Streets Department
Quantity Description Rate Amount
69 Fire Extinguisher annual inspection 3.00 207.00
1 2 -1/2 Gallon Water hydrotest 19.00 19.00
1 10# ABC recharge 25.50 25.50
5 5# ABC hydrotest 13.65 68.25
2 5# ABC recharge 15.50 31.00
4 5# ABC 6 year maintenance 10.00 40.00
1 10# ABC Extinguisher condemned 0.00 0.00
7 New 5# ABC Fire Extinguisher w/ vehicle brkt 57.60 403.20
1 New 10# ABC Fire Extinguisher 71.50 71.50
11 OR27 Neck o -ring 1.30 14.30
10 Badger stem 6.00 60.00
1 Amerex stem 6.00 6.00
1 OR29 Neck o -ring 1.30 1.30
1 Amerex stem 6.00 6.00
1 Air Valve for water ext _3.5_0 3.50
1 OR37 Neck o -ring 1.30 1.30
1 Buckeye stem 7.25 7.25
5 Pull Pin 0.75 3.75
1 Track charge 15.00 15.00
Subtotal $983.85
Sales Tax (0.0 $0.00
If not id b due date, late.char es will be as.e ed at ��tt,, Total e rate of 1.5% p er month. $983.85
Pay online by hrips:Hipn.mtuit.com�6 c6zs7q p
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VOUCHER NO. WARR NO.
ALLOWED 20
Jacob Dietz Inc
IN SUM OF
2708 E. Michigan St.
Indianapolis, IN 46201
$983.85
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. I ACCT#[TITLEF AMOUNT
Board Members
2201 53665 42 390.20 $983.85 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
lThursda y June 30, 2011
UW .Y
f
Street Commissioner
St E)tni nim. mmn
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))
06/21/11 53665 $983.85
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