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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