230466 03/26/14 ,Ty u,.C.lyf`
A�',�>,��, CITY OF CARMEL, INDIANA VENDOR: 131135
® ONE CIVIC SQUARE HOOSIER FIRE EQUIPMENT INC CHECK AMOUNT: $*****3,380.00*
_� CARMEL, INDIANA 46032 4009 MONTDALE PARK DRIVE CHECK NUMBER: 230466
91;,.roN. VALPARAISO IN 46383 CHECK DATE: 03/26/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 86411 3,380.00 OTHER CONT SERVICES
****** INVOICE ****** PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0086411-IN
4009 Montdale Park Drive INVOICE DATE: 03/10/14
Valparaiso, Indiana 46383
ORDER NUMBER:
ORDER DATE:
(219) 462-1707 SALESPERSON House
CUSTOMER NO: CARM01
SOLD TO: SHIP TO:
Carmel Fire Department Carmel Fire Department
2 Civic Square 2 Civic Square
Carmel IN 46032-7543 Carmel IN 46032-7543
CONFIRM TO:
---_-_---------_--_-_------------------------------------------------------------------
CUSTOMER P. O. SHIP VIA F.O. B TERMS
E45 TIC Net 10
--------------------------------------------------------------------------------
ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT
--------------------------------------------------------------------------------
/SERVICE EACH 1 . 00 1 . 00 0 . 00 3, 380 . 00 3, 380 . 00
TIER 5 REPAIR ON CUSTOMER' S BULLARD T3MAX THERMAL
IMAGER, SERIAL #35822
TAXABLE . 00
NON-TAXABLE 3, 380 . 00
NET INVOICE: 3, 380 . 00
SALES TAX: . 00
FREIGHT: . 00
------------
INVOICE TOTAL: 3, 380 . 00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hoosier Fire Equipment
IN SUM OF $
4009 Montdale Park Drive
Valparaiso, IN 46383
$3,380.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 86411 I 43-509.00 I $3,380.00 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
MAR 2 w 2014
h � ° f
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
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))
86411 Repair Bullard $3,380.00
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