HomeMy WebLinkAbout204279 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 00351351 Page 1 of 1
0 ONE CIVIC SQUARE JACOB- DIETZ, INC
CARMEL, INDIANA 46032 2708 E MICHIGAN ST CHECK AMOUNT: $428.00
INDIANAPOLIS IN 46201 CHECK NUMBER: 204279
CHECK DATE: 12/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 8248 320.00 BUILDING REPAIRS MA
651 5023990 8249 108.00 OTHER EXPENSES
L JACOB DIIETZ, INC. Invoice
FIRE PROTECTION SPECIALISTS
2708 East Michigan Street Date Invoice
Indianapolis, IN 46201
317 -631 -2304 Fax 317- 631 -3117 11/23/2011 8249
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
24892 11/23/2011 Carmel Utilities
Quantity Description Rate Amount
1 Semi annual inspection of dry chemical Fire Protection system for HHW 90.00 90.00
trailer
2 Quick Response Fusible Link 212 degree 9.00 18.00
Pay online at:
https: /ipn.intuit.com/z44szs42
Subtotal $108.00
Sales Tax (0.0 $0.00
If not paid by due date, late charges will be assessed at the rate of 1.5% per month. Total $108.00
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 11/29/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11 /29/201 8249 $108.00
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
Z /Z/
Date Officer
VOUCHER 116319 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
8249 01- 720H -08 $18.00
8249 01- 736H -08 $90.00
Voucher Total $108.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
JACOB DIETZ, INC. Invoice
FIRE PROTECTION SPECIALISTS
2708 East Michigan Street Date Invoice
Indianapolis, IN 46201
317 -631 -2304 Fax 317 -631 -3117 11/23/2011 8248
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
11/23/2011
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
3 Fusible links 8.00 24.00
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
I,
Subtotal $320.00
I
Sales Tax (0.0 $0.00
i
I If not paid by due date, late charges will be assessed at the rate of 1.5% per month. Total $320.00
tim. FM
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))
8248 $320.00
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
$320.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE I AMOUNT Board Members
1120 I 8248 I 43- 501.00 I $320.00 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
DEC 5 2011
Ju'
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund