HomeMy WebLinkAbout233255 06/04/14 y q!GAN,M
CITY OF CARMEL, INDIANA VENDOR: 131135
s/ \i ONE CIVIC SQUARE HOOSIER FIRE EQUIPMENT INC CHECK AMOUNT: $*****1,087.00*
s ?�; CARMEL, INDIANA 46032 4009 MONTDALE PARK DRIVE CHECK NUMBER: 233255
'M,��oN�o. VALPARAISO IN 46383 CHECK DATE: 06/04/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 87168 . 1,087.00 AUTO REPAIR & MAINTEN
Page: 1
Invoice
Hoosier Fire Equipment,Inc. Invoice Number: 0087168-IN
4009 Montdale Park Drive Invoice Date: 5/19/2014
Valparaiso,Indiana 46383
(219)462-1707
Order Number:
Order Date
Salesperson: 0000 House
Customer Number: 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:
LCustomer P.O. Ship VIA F.O.B. Terms
OUR DELIVERY DESTINATION Net 10
Item Code Unit Ordered Shipped Back Ordered Price Amount
/SERVICE EACH 1.00 1.00 0.00 1,087.00 1,087.00
PERFORMED ANNUAL LADDER PREVENTATIVE MAINTENANCE SERVICE AND REPAIRS ON
CUSTOMER'S 2010 SEAGRAVE TDA,SERIAL#76397-AS PER ATTACHED-
Net Invoice: 1,087.00
Less Discount: 0.00
Freight: 0.00
Sales Tax: 0.00
Invoice Total: 1,087.00
1
❑ HOOSIER FIRE EQUIPMENT, INC. F-1HOOSIERFIRE EQUIPMENT, INC.
'ANWO
QTY: PART"NQ R,'DESCRIPTICIN PRICE 4009 Montdale Park Drive 3863 North Commercial Parkway
1 Return Hydraulic Filter $72.00 Valparaiso, IN 46383 Greenfield, IN 46140
1 Pressure Hydraulic Filter $125.00 Phone: 219-462-1707 Phone: 317-891-8375
1 Shipping/Freight $10.00 Toll Free: 800-552-2691 Toll Free: 888-436-6075
2 Dry Graphite Lubricant I $25.00 REPAIR ORDER
NAME: Carmel Fire Department RECEIVED: 4/23/2014 DATE: 5/5/2014
ADDRESS: TWO Carmel CIVIC Square PROMISED: CUSTOMER
ORDER# ST2010
CITY: Carmel, IN 46032 TERMS: MECHANIC: MS
PHONE: Bob Van Voorst Cell 317-664-0958
MAKE: MODEL: YR. SERIAL NO. UNIT MILEAGE AR#
Seagrave TDA 2010 76397 Ladder41 25,083 6932
I " LABOR LABOR.
HOURS REPAIR ORDER INSTRUCTIONS CHARGE
Performed Annual Ladder Preventative Maintenance Service. $ 855.00
Removed existing and installed new hydraulic pressure and return filters.
"See attached for Ladder P.M.Service Report.
I
ADDITIONAL PARTS SEE LIST ON BACK
PARTST,OTAL -.► $y`232A0':
SUBLET WORK PRICE
I hereby authorize the above repair work to be done w/the necessary material,and hereby grant you and/or your employees
permission to operate the car or truck herein described on streets,highways or elsewhere for the purpose of testing
and/or Inspection. An express mechanic's lien is hereby acknowledged on above car or truck to secure the amt.of repairs thereto.
X TOTAL LABOR; $ 855.00,
TOTALPARTS:,$ 232.0.0:
NOT RESPONSIBLE
FOR LOSS OR MILES TRAVEL RATE PRICE - `SUBLET,WORK:
DAMAGE TO CARS OR
ARTICLES LEFT IN ,'TRAVEL EXP. ,
CARS IN CASE OF
FIRE,THEFT OR ANY '.'TAX:
OTHER CAUSE
BEYOND OUR
UBLETW,bRKTOTA CONTROL. TOTAL`TRAVEL'EXBENSES:. '' , `. TOTAL $` , 1,082.00
1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hoosier Fire Equipment
IN SUM OF$
4009 Montdale Park Drive
Valparaiso, IN 46383
i
$1,087.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 87168 43-510.00 $1,087.00 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 2 2014
W,
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))
87168 L41 $1,087.00
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
, 20
Clerk-Treasurer