HomeMy WebLinkAbout209588 06/05/2012 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: $420.00
INDIANAPOLIS IN 46201 CHECK NUMBER: 209588
ON
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 108.00 OTHER EXPENSES
1120 4350100 8373 312.00 BUILDING REPAIRS MA
D jAcoB_DiETz, INC. Inv ®ice
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 5/18/2012 8374
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
24961 5/18/2012 Carmel Utilities
Quantity Description Rate Amount
1 Semi- annual inspection of dry chemical Fire Protection system for 90.00 90.00
HHW trailer
2 Quick Response Fusible Link 212 degree 9.00 18.00
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 Accounts ACCOUNTS PAYABLE VOUCHER
Form No. 301 -S (Rev. 1995) y�
TO
ADDRESS
Invoice Date Invoice Number Item Amount
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
,19
Signature Title
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.
,19
Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
SANITATION DEPARTMENT A
CARMEL, INDIANA
F avor
O� I��1
Total Amount of Voucher
Deductions
Amount of Warrant V
Month of 19
VOUCHER RECORD Acct. No.
Collection System
Operation
Plant
Commercial
General
Undistributed
Construction
Depreciation Reserve
Stock Accounts Merchandise
Total
Allowed
Board Members
Filed
BOYCE FORMS SYSTEMS 1- 800 382 -8702 325
JD JACOB DIETZ, INC. Invoice
"Rr 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 5/18/2012 8373
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
5/18/2012
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
2 Fusible links 8.00 16.00
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
Subtotal $312.00
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 $312.00
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))
8373 $312.00
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 NO.
ALLOWED 20
Jacob Dietz
IN SUM OF
2708 East Michigan Street
Indianapolis, IN 46201
$312.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I 8373 I 43- 501.00 I $312.00 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
.JUN 4 2012
r Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund