HomeMy WebLinkAbout211347 07/31/2012 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: $3,285.55
INDIANAPOLIS IN 46201 CHECK NUMBER: 211347
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 55568 350 . 55 OTHER EXPENSES
651 5023990 55569 757 . 75 OTHER EXPENSES
601 5023990 55570 284 .45 OTHER EXPENSES
2201 4239020 55578 815 . 15 FIRE PREVENTION SUPPL
1120 4350900 55579 795 .45 OTHER CONT SERVICES
601 5023990 55619 38 .20 OTHER EXPENSES
651 5023990 55619 244 . 00 OTHER EXPENSES
JDJACOB-DIETZ, 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 6/30/2012 55569
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
28011 6/30/2012 Carmel Waste Water
Quantity Description Rate Amount
88 Fire Extinguisher annual inspection 3.00 264.00
2 2-1/2#ABC 6 year maintenance 7.25 14.50
2 5# ABC hydrotest 13.65 27.30
3 109 ABC 6 year maintenance 13.00 39.00
4 10#ABC hydrotest 17.65 70.60
6 20#ABC 6 year maintenance 20.00 120.00
1 10# CO2 test& recharge 26.00 26.00
1 New 54 ABC Fire Extinguisher 44.50 44.50
6 OR29 Neck o-ring 1.30 7.80
11 OR27 Neck o-ring 1.30 14.30
6 Badger Stem 7.00 42.00
6 Badger stem 7.00 42.00
5 Amerex stem 6.00 30.00
1 Amerex safety disc 10.75 10.75
- ---1-- -.-Truck_charge -- - - - - - - -- - -- -- 5.00 --- -- 5.00 - --
Pay online at:
https:Hipn.intuit.com/3839msmk
Subtotal $757.75
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 $757.75
JACOB DIETZ, INC. Invoice
JFIRE 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 6/30/2012 55568
Bill To: Ship To:
Carmel Sewer Department Carmel Sewer Department
760 3rd Avenue 760 3rd Avenue
Carmel, IN 46032 Carmel, IN 46032
P.O.No. Work Order# Terms Due Date Rep Project
28010 6/30/2012 Carmel Sewer Depar...
Quantity Description Rate Amount
40 Fire Extinguisher annual inspection 3.00 120.00
1 5#ABC recharge 15.50 15.50
2 20#ABC 6 year maintenance 20.00 40.00
2 10# ABC hydrotest 17.65 35.30
2 15#CO2 test& recharge 28.00 56.00
3 OR27 Neck o-ring 1.30 3.90
2 OR29 Neck o-ring 1.30 2.60
2 CO2 Neck o-ring 2.50 5.00
1 Badger stem 7.00 7.00
2 Badger Stem 7.00 14.00
2 Amerex safety disc 10.75 21.50
1 32" Co2 hose 1/4" x 3/8" 18.95 18.95
1 Nozzle diffuser for REIN horn 5.80 5.80
1 Truck charge 5.00 5.00
Pay online at:
https://ipn.intuit.com/pwtnqx69
Subtotal $350.55
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 $350.55
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 7/26/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/26/2012 55569 $757.75
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
�,-- -
Date Officer
VOUCHER # 125335 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
55569 01-7202-06 $191.35
55569 01-7362-06 $566.40
S S56S 0I-7000-o, 1$15
S55�B 0I--7360- 01 0-71. 30
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund
J"
JAcoBDIETZ, 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 6/30/2012 55619
Bill To: Ship To:
Carmel Waterworks Carmel Waterworks
760 3rd Avenue SW 760 3rd Avenue SW
Carmel, IN 46032 Carmel, IN 46032
P.O.No.. Work Order# Terms Due Date Rep Project
28005&28006 6/30/2012 Carmel Waterworks
Quantity Description Rate Amount
Billing Office
9 Fire Extinguisher annual inspection �?t 3.00 27.00
2 2-1/2#ABC 6 year maintenance �� 5�� 7.25 14.50
2 OR27 Neck o-ring ��' .` 1.30 2.60
2 Amerex stem CD 6.00 12.00
1 Truck charge 5.00 5.00
Sewer Collections
20 Fire Extinguisher annual inspection 3.00 60.00
1 2-1/2# ABC 6 year maintenance 7.25 7.25
1 5#ABC 6 year maintenance 10.00 10.00
1 204 ABC hydrotest 25.65 25.65
1 2-1/29 ABC hydrotest 8.50 8.50
1 10#ABC Extinguisher condemned 0.00 0.00
1 New 104 ABC Fire Extinguisher 74.50 74.50
3 OR27 Neck o-ring 1.30 3.90
1 OR29 Neck o-ring 1.30 1.30
2 Amerex stem 6.00 12.00
1 Amerex stem 6.00 6.00
Subtotal
Sales Tax (0.0%)
If not paid by due date;late charges will be assessed at the rate of 1_5%per month. Total
Page 1
JACOB DIETZ, INC. Invoice
FIR 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 6/30/2012 55619
Bill To: Ship To:
Carmel Waterworks Carmel Waterworks
760 3rd Avenue SW 760 3rd Avenue SW
Carmel, IN 46032 Carmel, IN 46032
P.O.No. Work Order# Terms Due Date Rep Project
28005&28006 6/30/2012 Carmel Waterworks
Quantity Description Rate Amount
I Badger stem 7.00 7.00
1 Truck charge 5.00 5.00
Pay online at:
https:Hipn.intuit.com/zczb9pv8
Subtotal $282.20
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 $282.20
Page 2
1
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 7/23/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/23/2012 55619 $243.00
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
Date Officer
VOUCHER # 125357 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
55619 01-7200-01 $104.70
55619 01-7200-07 $5.47
55619 01-7360-07 $17.43
1l L,�Go
55619 01-7360-01 $11 0
5
Voucher Total $ 00
Cost distribution ledger classification if
claim paid under vehicle highway fund
J 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 6/30/2012 55619
Bill To: Ship"ro:
Carmel Waterworks Carmel Waterworks
760 3rd Avenue SW 760 3rd Avenue SW
Carmel, IN 46032 Carmel, IN 46032
Y.O.No. Work Order# Terms Due Date Rep Project
28005&28006 6/30/2012 Carmel Waterworks
Quantity Description Rate Amount
Billing Office
9 Fire Extinguisher annual inspection �t 3.00 27.00
2 2-1/2#ABC 6 year maintenance V`� 5�,� 7.25 14.50
2 OR27 Neck o-ring � .� 1.30 2.60
2 Amerex stem CD 5 6.00 12.00
1 Truck charge 5.00 5.00
Sewer Collections
20 Fire Extinguisher annual inspection 3.00 60.00
1 2-1/2# ABC 6 year maintenance 7.25 7.25
1 5#ABC 6 year maintenance 10.00 10.00
1 20# ABC hydrotest 25.65 25.65
1 2-1/24 ABC hydrotest 8.50 8.50
1 10#ABC Extinguisher condemned 0.00 0.00
I New 10#ABC Fire-Extinguisher- _ - 7-4.50 __ _ __7_4.50
3 OR27 Neck o-ring 1.30 3.90
1 OR29 Neck o-ring 1.30 1.30
2 Amerex stem 6.00 12.00
1 Amerex stem 6.00 6.00
Subtotal
Sales Tax (0.0%)
If not paid by due date,late charges will be assessed at the rate of 1.5%per month. Total
Page 1
JUJAcoB-DiETz, INC. Invoice
F I R E P R O T EC T I O N 5 P E C I A L I S T 5
2708 East Michigan Street Date Invoice#
Indianapolis, IN 46201
317-631-2304 Fax 317-631-3117 6/30/2012 55619
Bill To: Ship To:
Carmel Waterworks Carmel Waterworks
760 3rd Avenue SW 760 3rd Avenue SW
Carmel, IN 46032 Carmel, IN 46032
P.O.No. Work Order# Terms Due Date Rep Project
28005&28006 6/30/2012 Carmel Waterworks
Quantity Description Rate Amount
I Badger stem 7.00 7.00
1 Truck charge 5.00 5.00
Pay online at:
https:Hipn.intuit.com/zczb9pv8
Subtotal $282.20
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 $282.20
Page 2
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 7/23/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/23/2012 55619 $38.20
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
130/ ►
Date Officer
VOUCHER # 121657 WARRANT # ALLOWED
351351 IN SUM OF $
JACOB-DIETZ, INC.
2708 E. Michigan St.
Indianapolis, IN 46201
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
55619 01-6200-07 $9.13
55619 01-6360-07 $29.07
Voucher Total $38.20
Cost distribution ledger classification if
claim paid under vehicle highway fund
'JDJACOB-DiETz, INC. Inv®ice
F I R E P R O T E C T IO 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 6/30/2012 55570
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
28007 6/30/2012 Water Distribution
Quantity e Description Rate Amount
37 Fire Extinguisher annual inspection 3.00 111.00
5 10# ABC 6 year maintenance 13.00 65.00
1 54 ABC 6 year maintenance 10.00 10.00
3 2-1/2#ABC 6 year maintenance 7.25 21.75
9 OR27 Neck o-ring 1.30 11.70
6 Badger stem 7.00 42.00
3 Amerex stem 6.00 18.00
1 Truck charge 5.00 5.00
Pay online at:
https://ipn.intuit.com/8kps2rrs
Subtotal $284.45
Sales Tax(0.0%) $0.00
L aid by due date,late charges will be assessed at the rate of 1.5%per month. Total $284.45
I
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 7/24/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/24/2012 55570 $284.45
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 # 121605 WARRANT # ALLOWED
351351 IN SUM OF $
JACOB-DIETZ, INC.
2708 E. Michigan St.
Indianapolis, IN 46201
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
'71
55570 01-6200-06 $44=aD
55570 01-6360-06
Voucher Total $284.45
Cost distribution ledger classification if
claim paid under vehicle highway fund
JDJACOB-DIETZ, INC. Invoice
FIRE 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 6/30/2012 55578
Bill To: Ship To:
City of Carmel Streets Department
One Civic Square 3400 West 131 st Street
Carmel, IN 46032 Carmel, IN 46074
P.O.No. Work Order# Terms Due Date Rep Project
28009 6/30/2012 Streets Department
Quantity Description Rate Amount
79 Fire Extinguisher annual inspection 3.00 237.00
1 15#CO2 test& recharge 28.00 28.00
2 2-1/2#ABC hydrotest 8.50 17.00
9 5#ABC hydrotest 13.65 122.85
7 5#ABC 6 year maintenance 10.00 70.00
1 New 5#ABC Fire Extinguisher 44.50 44.50
1 New 10#ABC Fire Extinguisher 74.50 74.50
18 OR27 Neck o-ring 1.30 23.40
15 Badger stem 7.00 105.00
3 Amerex stem 6.00 18.00
1 Ansul safety disc assembly 12.75 12.75
1 32" Co2 hose 1/4" x 3/8" 18.95 18.95
1 CO2 DOT label 0.95 0.95
1 Aluminum Band 10,15,20#CO2 rapid discharge 5.75 5.75
3 195 PSI dry chemical gauge _4.50 13.50
1
Used discharge hose _ 5.00 5.00
1 Truck charge 18.00 18.00
Subtotal $815.15
Sales Tax (0.0%) $0.00
1
If not paid by due date,late charges will be assessed at the rate of 1.5%per month. Total $815.15
I
I
I
1
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))
06/30/12 55578 $815.15
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 Inc
IN SUM OF $
2708 E. Michigan St.
Indianapolis, IN 46201
$815.15
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 55578 I 42-390.201 $815.15 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
/7
/ Thursday yy6,6201�2 7 Z/
Streef'Commiss'ioneper
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
J"JAcoB_DiETz, INC. Invoke
F I R E PR 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 6/30/2012 55579
Bill To:, Ship To:
Carmel Fire Department
2 Civic Square
Carmel, IN 46032
P.O.No. Work Order# Terms Due Date Rep Project
25493 6/30/2012 Carmel Fire Departm...
Quantity Description Rate Amount
134 Fire Extinguisher annual inspection 3.00 402.00
2 2-1/2 Gallon Water hydrotest 19.00 38.00
2 6 Liter K hydrotest 15.00 30.00
1 2-1/2 Liter K hydrotest 15.00 15.00
1 20#ABC recharge 40.50 40.50
1 20# ABC hydrotest 25.65 25.65
1 20# CO2 test&recharge 31.00 31.00
1 15#CO2 test&recharge 28.00 28.00
1 15#CO2 recharge 16.00 16.00
2 5#ABC 6 year maintenance 10.00 20.00
10 OR29 Neck o-ring 1.30 13.00
2 OR27 Neck o-ring 1.30 2.60
1 340036K Neck o-ring 2.00 2.00
2 CO2 Neck o-ring 2.50 5.00
3 Valve Stem for K 12.40 37.20
4 Amerex stem 6.00 24.00
2 Badger Stem 7.00 14.00
1 Badger stem 7.00 7.00
1 Kidde pro-line stem 5.00 5.00
Subtotal
Sales Tax (0.0%)
If not paid by due date,late charges will be assessed at the rate of 1.5%per month. Total
Page 1
J"JACoB' -DiETz, 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 6/30/2012 55579
Bill To: Ship To:
Carmel Fire Department
2 Civic Square
Carmel, IN 46032
P.O.No. Work Order# Terms Due Date Rep Project
25493 6/30/2012 Carmel Fire Departm...
Quantity Description Rate Amount
1 Amerex safety disc 10.75 10.75
1 Kidde burst disc 8.25 8.25
1 20# hose band 2.50 2.50
1 Truck charge 18.00 18.00
Pay online at:
https://ipn.intuit.com/bjk976gp
I -
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Subtotal $795.45
Sales Tax (0.0%) $0.00
� Total $795.45
If not pEid y du:date:jate:char:ges:wi:11:beasse:sscd at the rate of 1.5%per month.
� I
Page 2
h
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))
55579 $795.45
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.
Jacob Dietz ALLOWED 20
IN SUM OF $
2708 East Michigan Street
Indianapolis, IN 46201
$795.45
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT
Board Members
1120 I 55579 I 43-509.00 I $795.45 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
JUL 3 0 2012
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund