159423 05/14/2008 „M CITY OF CARMEL, INDIANA VENDOR: 00351351 Page 1 of 1
1 ONE CIVIC SQUARE JACOB- DIETZ, INC CHECK AMOUNT: $447.00
CARMEL, INDIANA 46032 2708 E MICHIGAN ST
INDIANAPOLIS IN 46201 CHECK NUMBER: 159423
CHECK DATE: 5/14/2008
DEPARTMENT A CCOUN T PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 7503 90.00 CONT SVS -HAZ WASTE
1120 4350900 7504 357.00 OTHER CONT SERVICES
,Y
JACOB-DETZ, INC. Invoice
F I R E 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 4/30/2008. 7504
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
4/30/2008
Quantity Description Rate Amount
I 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: 1.7.00
.;1 .Semi- annual inspection of kitchen-hood fire system 68.00. 69.00,'.
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
Sales Tax (0.0 $0.00
Total $357.00
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))
04/30/08 7504 Hood System 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
VOUCHER NO. WARRANT N
ALLOWED 20
Jacob Dietz
IN SUM OF
2708 East Michigan Street
Indianapolis, IN 46201
$357.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 7504 43- 509.00 $357.00 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
-17
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
J DJACOB-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 4/30/2008 7503
Bill To: Ship To:
Carmel Utilities City of Cannel HHW
760 3rd Avenue SW 901 Rangeline Road
Cannel, IN 46032 Cannel, IN 46032
P.O. No. Work Order Terms Due Date Rep Project
4/30/2008 Carmel Utilities
Quantity Description Rate Amount
1 Semi annual inspection of dry chemical Fire 90.00 90.00
Protection system for hazardous storage trailer
Subtotal $90.00
Sales Tax (0.0 $0.00
Total $90.00
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 5/8/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/8/2008 7503 $90.00
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- 11- 10 -1.6
Date Officer
VOUCHER 085458 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
7503 01- 736H -08 $90.00
Voucher Total $90.00
Cost distribution ledger classification if
claim paid under vehicle highway fund