HomeMy WebLinkAbout165834 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 00351351 Page 1 of 1
ONE CIVIC SQUARE JACOB- DIETZ, INC
CARMEL, INDIANA 46032 CHECK AMOUNT: $2,975.45
2708 E MICHIGAN ST
INDIANAPOLIS IN 46201 CHECK NUMBER: 165834
CHECK DATE: 11112/2008
DEPAR TMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTI
651 5023990 107.00 OTHER EXPENSES
1120 4350900 48751 29.45 OTHER CONT SERVICES
1120 4350900 48797 2,482.00 OTHER CONT SERVICES
1120 4350900 7587 357.00 OTHER CONT SERVICES
JPJAC INC. Invoice
OB-DIETZ,
PROTECTION 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 10/25/2008 .7588
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
10/25/2008 Carmel Utilities
Quantity Description Rate Amount
1 Semi annual inspection of dry chemical Fire 90.00 90.00
Protection system for hazardous storage
2 Fusible link 8.50 17.00
Subtotal $107.00
Sales Tax (0.0 $0.00
Total $107.00
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 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 11/3/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/3/2008 7588 $107.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 111- 10 -1.6
Date Officer
VOUCHER 086596 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
7588 01- 720H -08 $17.00
7588 01- 736H -08 $90.00
Voucher Total $107.00
Ccst distribution ledger classification if
claim paid under vehicle highway fund
,k D JAcoB_DiETz, INC. In voice
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 10/25%2008 7587
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
10/25/2008
Quantity Description Rate Amount
1 Semi annual inspection of kitchen hood fire system 68.00 68.00
for station 41
2 Fusible links 8.50 17.00
1 Semi annual inspection of kitchen hood fire system 68.00 68.00
for station 45
2 Fusible links 8:50 17.00
1 Semi annual inspection of kitchen hood'fire system 68.00 68.00
for station 46
3 Fusible links 8.50 25.50
1 Semi annual inspection of kitchen hood fire system 68.00 68.00
for station 42
3 Fusible links 8.50 25.50
Subtotal $357.00
Sates Tax (0.0 $0.00
Total $357.00 1
1
J "JACOB-DETZ, 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
10/23/2008 48751
Bill To: Ship To:
Carmel Fire Department
2 Civic Square
Carmel, IN 46032
P.O. No. Work Order Terms Due Date Rep Project
10/23/2008 Carmel Fire Departm...
Quantity Description Rate Amount
1 2 -1/2 Gallon Water hydrotest 15.15 15.15
1 0.00 0.00
I 100 psi dry chemical gauge 4.50 4.50
2 Air Valve for water ext 2.20 4.40
I OR29 Neck o -ring 1.15 1.15
1 Amerex stem 4.25 4.25
Yellow is JDI copy please sign.
White is delivery copy for Customer. Subtotal $29.45
Sales Tax (0.0 $0.00
Total $29.45
JDJACOB-nETZ,
INC. Invoice
P I R E P R O T E C T 1 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 11/6/2008 48797
Bill To: Ship To:
Carmel Fire Department
2 Civic Square
Carmel, IN 46032
P.O. No. Work Order Terms Due Date Rep Project
11/6/2008 Carmel Fire Departm...
Quantity Description Rate Amount
136 Air pack cylinder hydrotest(above 3000 PSI) 15.00 2,040.00
136 Scott neck wring 3.25 442.00
11 4500 psi Bottles Condemned All SCI Bottles 0.00 0.00
639 62008, 62612, 62458 ,46806,67118,67115,64721,65
879
67117,61881,62026
Yellow is JDI copy please sign.
White is delivery copy for Customer. Subtotal $2,482.00
Sales Tax (0.0 $0.00
Total $2,482.00
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))
48797 Hydrotest SCBA $2,482.00
48751 Charge Extinguisher $29.45
7587 Hood PM $357.00
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
VOUC NO. WARRANT N
ALLOWED 20
Jacob Dietz
IN SUM OF
2708 East Michigan Street
Indianapolis, IN 46201
$2,868.45
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 48797 43- 509.00 $2,482.00 1 hereby certify that the attached invoice(s), or
1120 48751 43- 509.00 $29.45 bill(s) is (are) true and correct and that the
1120 7587 43- 509.00 $357.00
materials or services itemized thereon for
which charge is made were ordered and
received except
NOV 1 0 2008
r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund