HomeMy WebLinkAbout222460 07/30/2013 F CITY OF CARMEL, INDIANA VENDOR: 00351351 Page 1 of 1
ONE CIVIC SQUARE JACOB-DIETZ,INC
'' t( CARMEL, INDIANA 46032 130 S EWING ST CHECK AMOUNT: $2,182.25
INDIANAPOLIS IN 46201 CHECK NUMBER: 222460
CHECK DATE: 7/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 57618 1, 713 . 10 OTHER CONT SERVICES
2201 4239020 57646 469 . 15 FIRE PREVENTION SUPPL
JDJACOB-DETZ, INC. Invoice
F I R E PROTECTION S P E C I A L I S T S
130 South Ewing St. Date Invoice#
Indianapolis,IN 46201
317-631-2304 Fax 317-631-3117
6/30/2013 57618
Bill To: Ship To:
Carmel Fire Department
2 Civic Square
Carmel, IN 46032
P.O.No. Work Order# Terms Due Date Rep Project
29888 6/30/2013 Carmel Fire Departm...
Quantity Description Rate Amount
141 Fire Extinguisher annual inspection 3.00 423.00
6 2-1/2 Gallon Water hydrotest 19.00 114.00
2 6 Liter K test&recharge 90.00 180.00
1 5#ABC hydrotest 13.65 13.65
21 10#ABC hydrotest 17.65 370.65
2 20#ABC hydrotest 25.65 51.30
1 10#ABC recharge 25.50 25.50
4 10#ABC 6 year maintenance 13.00 52.00
3 5#ABC 6 year maintenance 10.00 30.00
2 20#ABC 6 year maintenance 20.00 40.00
30 OR27 Neck o-ring 1.30 39.00
12 OR29 Neck o-ring 1.30 15.60
2 Valve Stem for K 12.40 24.80
10 Amerex stem 6.00 60.00
1 Amerex stem. 6.00 6.00
- --29 Badgei stem -- - --- - - - - -- - 7.00 203.00
.2 100 psi gauge(water) 5.50 11.00
2. 195 PSI dry chemical gauge 4.50 9.00
8 Hazardous Material Communication Label 0.70 5.60
6 Air Valve for water ext 3.50 21.00
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
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Page 1
J"JAcoB-DiETz, INC. Invoice
FIRE PROTECTION SPECIALISTS
130 South Ewing St. Date Invoice#
Indianapolis,IN 46201
317-631-2304 Fax 317-631-3117 6/30/2013 57618
Bill To: Ship To:
Carmel Fire Department
2 Civic Square
Carmel, IN 46032
P.O:No. Work Order# Terms Due Date Rep Project
29888 6/30/2013 Carmel Fire Departm...
Quantity Description Rate Amount
1 'Truck charge 18.00 18.00
Subtotal $1,713.10
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 $1,713.10
Page 2
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jacob Dietz
IN SUM OF $
130 S. Ewing Street
Indianapolis, IN 46201
$1,713.10
iDR
)UNT Board Members
13.10 I 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 2 9 2013
4 Wo,0 V.
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
vvhom, 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))
57618 $1,713.10
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
J1JJAC0B-nETZ, 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 -
130 South Ewing St. Date Invoice#
Indianapolis,IN 46201
317-631-2304 Fax 317-631-3117 6/30/2013 57646
Bill To: Ship To:
City of Carmel Streets Department
One Civic Square 3400 West 131st Street
Carmel, IN 46032 Carmel,IN 46074
P.O.No. Work Order# Terms Due Date Rep Project
29862 6/30/2013 Streets Department
Quantity Description Rate Amount
63 Fire Extinguisher annual inspection 3.00 189.00
1 2-1/2# ABC hydrotest 8.50 8.50
6 5# ABC hydrotest 13.65 81.90
2 5#ABC 6 year maintenance 10.00 20.00
10 Fire Extinguisher annual inspection 3.00 30.00
1 2-1/2#ABC recharge 8.50 8.50
1 2-1/2#ABC hydrotest 8.50 8.50
1 5# ABC hydrotest 13.65 13.65
12 OR27 Neck o-ring 1.30 15.60
6 Amerex stem 6.00 36.00
5 Badger stem 7.00 35.00
1 195 PSI dry chemical gauge 4.50 4.50
1 Truck charge 18.00 18.00
- ------- Pay online at-
https://ipn.intuit.com/crmvjd6h
Subtotal $469.15
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 $469.15
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jacob Dietz Inc
IN SUM OF $
2708 E. Michigan St.
Indianapolis, IN 46201
$469.15
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 57646 I 42-390.201 $469.15 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
F � y, July 26, 2013
Str���l� l_ der
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
06/30/13 57646 $469.15
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