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Home My WebLink About175757 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 00351351 Page 1 of 1 ONE CIVIC SQUARE JACOB- DIETZ, INC CHECK AMOUNT: $1,126.70 CARMEL, INDIANA 46032 INDIANAPOLIS MICH 46201 CHECK NUMBER: 175757 CHECK DATE: 816/2009 DE PARTMENT ACCOU PO NUMBER INVOICE NUM BER AMOUN DESCRIPTION 651 5023990 49797 38.40 OTHER EXPENSES 601 5023990 49798 234.50 OTHER EXPENSES 601 5023990 49799 208.20 OTHER EXPENSES 651 5023990 49800 488.25 OTHER EXPENSES 651 5023990 49801 157.35 OTHER EXPENSES Z7 j"JAcoB-DiETz, INC. Invoice F I RE 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 6/30/2009 49798 Bill To: Ship To: Water Distribution Water Distribution 760 3rd Avenue SW 760 3rd Avenue SW Carmel, IN 46032 Carmel, IN 46032 P.O. No. Work Order Terms Due Date Rep Project 6/30/2009 Water Distribution Quantity Description Rate Amount 28 Fire Extinguisher annual inspection 3.00 84.00 2 5# ABC 6 year maintenance 10.00 20.00 5 2 -1/2# ABC 6 year maintenance 7.25 36.25 1 2-1/2# ABC hydrotest 8.00 8.00 1 IS# CO2 test recharge 25.00 25.00 8 OR27 Neck o -ring 1.15 9.20 7 Amerex stem 5.00 35.00 1 Badger stem 5.50 5.50 1 CO2 Neck o -ring 1.15 1.15 1 Amerex safety disc 9.75 9.75 1 CO2 DOT label 0.65 0.65 Subtotal $234.50 Sales Tax (0.0 $0.00 Total $234.50 jD JAcoB-DiETz, INC. Invoice ,'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 6/30/2009 49799 Bill To: Ship To: Carmel Waterworks Carmel Waterworks 760 3rd Avenue SW 760 3rd Avenue SW Carmel, M 46032 Carmel, IN 46032 P.O. No. Work Order Terms Due Date Rep Project 6/30/2009 Carmel Waterworks Quantity Description Rate Amount 41 Fire Extinguisher annual inspection 3.00 123.00 1 2 -1/2# ABC 6 year maintenance 7.25 7.25 2 15# CO2 test recharge 25.00 50.00 1 OR27 Neck o -ring 1.15 1.15 1 Amerex stem 5.00 5.00 2 CO2 Neck o -ring 1.15 2.30 2 Amerex safety disc 9.75 19.50 Subtotal $208.20 Sales Tax (0.0 $0.00 Total $208.20 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. 0 Payee 351351 JACOB- DIETZ, INC. Purchase Order No. 2708 E. Michigan St. Terms Indianapolis, IN 46201 Due Date 7/29/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/29/2009 49798 $234.50 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 Date Officer VOUCHER 092533 WARRANT ALLOWED 3 51351 IN SUM OF JACOB- DIETZ, INC. 2708 E. Michigan St. N Indianapolis, IN 46201 2 ��R AD Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 49798 01- 6360 -06 5234.50 yC of gy p, aag ZD I I Voucher Total L j -7 50 1 Cost distribution ledger classification if claim paid under vehicle highway fund J!JJAcoB-DiETz, INC. Invoice F I RE 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 6/30/2009 49800 Bill To: Ship To: Carmel Waste Water Carmel Waste Water 760 3rd Avenue SW 760 3rd Avenue SW Carmel, IN 46032 Carmel, IN 46032 P.O. No. Work Order Terms Due Date Rep Project 6/30/2009 Carmel Waste Water Quantity Description Rate Amount 72 Fire Extinguisher annual inspection 3.00 216.00 1 5# ABC 6 year maintenance 10.00 10.00 3 2-1/2# ABC 6 year maintenance 7.25 21.75 4 OR27 Neck o -ring 1.15 4.60 1 Badger stem 5.50 5.50 3 Amerex stem 5.00 15.00 1 New 10# ABC Fire Extinguisher 79.60 79.60 1 New 20# ABC Fire Extinguisher 135.80 135.80 2 Condemned Rusted 0.00 0.00 Subtotal $488.25 Sales Tax (0.0 $0.00 Total $488.25 d J JJJAC0B-nETZ, INC. Invoice F I R E 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 6/30/2009 49801 Bill To: Ship To: City of Carmel House Hold Waste 760 3rd Avenue SW 901 Rangeline Road Carmel, IN 46032 Carmel, In 46032 P.O. No. Work Order Terms Due Date Rep Project 6/30/2009 House Hold Waste Quantity Description Rate Amount 31 Fire Extinguisher annual inspection 3.00 93.00 1 10# ABC hydrotest 16.65 16.65 1 54 ABC 6 year maintenance 10.00 10.00 1 2 -1/29 ABC 6 year maintenance 7.25 7.25 3 OR27 Neck o -ring 1.15 3.45 I Badger stem 5.50 5.50 2 Amerex stem 5.00 10.00 1 Fire extinguisher nozzle 4.00 4.00 1 195 psi dry chemical gauge 7.50 7.50 Subtotal $157.35 Sales Tax (0.0 $0.00 Total $157.35 r INC. Invoice J"JAcoB-DiETz, P R O T E C T I ON 5 P E C i A L IS T 5 2708 East Michigan Street Date Invoice Indianapolis, IN 46201 317- 631 -2304 Fax 317 -631 -31.17 6/30/2009 49797 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 6130/2009 Carmel Utilities Quantity Description Rate Amount 7 Fire Extinguisher annual inspection 3.00 21.00 1 2 -1/2# ABC 6 year maintenance 7.25 7.25 1 OR27 Neck o -ring 1.1.5 1.15 1 Amerex stem 5.00 5.00 1 Fire extinguisher nozzle 4.00 4.00 Subtotal $38.40 Sales Tax (0.0 $0.00 Total $38.40 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 7/27/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/27/2009 49797 $38.40 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 096079 WARRANT ALLOWED 351351 IN SUM OF 4, 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 49797 01- 720H -08 $10.15 49797 01- 736H -08 $28.25 yggol o1 :Xoii•U8 30.45 pi.'36 iLow 126. q0 11 o 1 q$o 01.7 Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund