HomeMy WebLinkAbout223036 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 00351351 Page 1 of 1
ONE CIVIC SQUARE JACOB-DIETZ, INC CHECK AMOUNT: $1,635.75
` CARMEL, INDIANA 46032 130 S EWING ST
INDIANAPOLIS IN 46201
<„ CHECK NUMBER: 223036
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 57725 248 . 30 OTHER EXPENSES
651 5023990 57726 762 . 00 OTHER EXPENSES
601 5023990 57727 483 . 55 OTHER EXPENSES
651 5023990 57728 141 . 90 OTHER EXPENSES
JDJACOB-nETZ, INC. Invoice
F I R E P R O T E C T I O N S P E C 1 A L I S T S
130 South Ewing St. Date Invoice#
Indianapolis,IN 46201
317-631-2304 Fax 317-631-3117 7/26/2013 57725
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
29794 7/26/2013 Water Distribution
Quantity Description Rate Amount
34 Fire Extinguisher annual inspection 3.00 102.00
2 10#ABC 6 year maintenance 13.00 26.00
1 5#ABC hydrotest 13.65 13.65
1 2-1/24 ABC 6 year maintenance 7.25 7.25
4 2-1/24 ABC hydrotest 8.50 34.00
8 OR27 Neck o-ring 1.30 i 10.40
6 Amerex stem 6.00 aya� r 36.00
2 Badger stem 7.00 �� \ 14.00
1 Truck charge 5.00 5.00
Subtotal $248.30
Sales Tax(0.0%) $0.00
If not paid by due date,late charges Nvill be assessed at the rate of 1.5%per month. Total $248.30
1
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
130 South Ewing St. Date Invoice#
Indianapolis,IN 46201
317-631-2304 Fax 317-631-3117 7/26/2013 57727
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
29796 7/26/2013 ewer Depart...
Quantity Description Rate Amount
56 Fire Extinguisher annual inspection 3.00 168.00
4 10#ABC 6 year maintenance 13.00 52.00
1 10#ABC recharge 25.50 25.50
2 20#ABC recharge 40.50 81.00
1 5#ABC hydrotest 13.65 13.65
5 2-1/2#ABC 6 year maintenance T25 36.25
10 OR27 Neck o-ring 1.30 13.00
2 OR29 Neck o-ring 1.30 2.60
1 OR37 Neck o-ring 1.30 ;.��y 1.30
6 Atnerex stem 6.00 v- 36.00
4 Badger stein 7.00 28.00
2 Badger Stem 7.00 14.00
1 Buckeye stem 7.25 7.25
1 Truck charge 5.00 5.00
Subtotal $483.55
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 $483.55
VOUCHER # 132350 WARRANT # ALLOWED
351351 IN SUM OF $
JACOB-DIETZ, INC.
130 S EWING ST '
Indianapolis, IN 46201
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
.0% &&.✓..,9;, /10
57725 01-6360-06 $248.30
Voucher Total g 5$ 0
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
351351
JACOB-DIETZ, INC. Purchase Order No.
130 S EWING ST Terms
Indianapolis, IN 46201 Due Date 8/6/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/6/2013 57725 $248.30
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
JDJACOB-DETZ, INC. Inv®ice
PROTECTION SPECIALISTS
130 South Ewing St. Date Invoice#
Indianapolis,IN 46201
317-631-2304 Fax 317-631-3117
7/26/2013 57728
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
29795&29788 7/26/2013 Carmel Waterworks
Quantity Description Rate Amount
Billing Office
10 Fire Extinguisher annual inspection O1, '73�,O, o S 3.00 30.00
1 Truck charge 5.00 5.00
Sewer Collections
19 Fire Extinguisher annual inspection 3.00 57.00
2 2-1/2#ABC 6 year maintenance 7.25 14.50
1 2-1/2#ABC hydrotest 8.50 8.50
3 OR27 Neck o-ring 1.30 3.90
3 Amerex stem 6.00 18.00
1 Truck charge 5.00 5.00
Subtotal $141.90
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 $141.90
d JACOB nETZ, INC. Invoice
F I R E PROTECTION SPECIALISTS
130 South Ewing St. Date Invoice#
Indianapolis, IN 46201
317-631-2304 Fax 317-631-3117 7/26/2013 57726
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
29787 7/26/2013 Carmel Waste Water
Quantity Description Rate Amount
104 Fire Extinguisher annual inspection 3.00 312.00
6 20#ABC 6 year maintenance 20.00 120.00
1 20#ABC hydrotest 25.65 25.65
2 10#ABC 6 year maintenance 13.00 26.00
3 5#ABC 6 year maintenance 10:00 30.00
1 5#ABC hydrotest 13.6 5 13.65
5 2-1/2#ABC hydrotest 8.50 42.50
1 2-1/29 ABC recharge 8.50 8.50
1 2-1/2#ABC Extinguisher condemned 0.00 0.00
1 2-1/2 #ABC Amerex 32.50 32.50
18 OR27 Neck o-ring 1.30 23.40
1 OR29 Neck o-ring 1.30 1.30
16 Amerex stem 6.00 96.00
2 Badger stem 7.00 14.00
1 Badger Stem _7.00 7.00
1 195 PSI dry chemical gauge 4.50 4.50
1 Truck charge 5.00 5.00
Subtotal $762.00
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 $762.00
VOUCHER # 136155 WARRANT # ALLOWED
351351 IN SUM OF $
JACOB-DIETZ, INC.
130 S. EWING STREET
Indianapolis, IN 46201
1
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
57726 01-7362-05
�-7�a$ 01- a
Voucher Total 00
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
351351
JACOB-DIETZ, INC. Purchase Order No.
130 S. EWING STREET Terms
Indianapolis, IN 46201 Due Date 8/8/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/8/2013 57726 $762.00
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
2-1j C. �l �� 171 -
Date Officer