240703 01/07/15 F, CITY OF CARMEL, INDIANA VENDOR: 131 135
d i ONE CIVIC SQUARE HOOSIER FIRE EQUIPMENT INC CHECK AMOUNT: $*--586.15"
CARMEL, INDIANA 46032 4009 MONTDALE PARK DRIVE CHECK NUMBER: 240703
VALPARAISO IN 46383 CHECK DATE: 01/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 88964 96.15 REPAIR PARTS
1120 4351000 89115 490.00 AUTO REPAIR & MAINTEN
Page: 1
Invoice
Hoosier Fire Equipment, Inc. Invoice Number: 0089115-IN
4009 Montdale Park Drive Invoice Date: 12/19/2014
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:
Customer 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 0.00 490.00 490.00
REPAIRS ON CUSTOMER'S 1995 KME PUMPER,SERIAL#2930-AS PER ATTACHED-
Net Invoice: 490.00
Less Discount: 0.00
Freight: 0.00
Sales Tax: 0.00
Invoice Total: 490.00
I
Page: 1
Invoice
Hoosier Fire Equipment, Inc. Invoice Number: 0088964-IN
4009 Montdale Park Drive Invoice Date: 12/9/2014
Valparaiso, Indiana 46383
(219)462-1707
Order Number: 0116135
Order Date 12/1/2014
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:
Customer P.O. Ship VIA F.O.B. Terms
_UNITED PARCEL SHIPPING POINT - ___ Net 10 - -
Item Code Unit Ordered Shipped Back Ordered Price Amount
/SORDER EACH 1.00 1.00 0.00 87.00 87.00
#546-1620-02-0-CLASS 1 MIV-E/M SWITCH REPLACEMENT KIT
Net Invoice: 87.00
Less Discount: 0.00
Freight: 9.15
Sales Tax: 0.00
Invoice Total: 96.15
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))
89115 E40 $490.00
88964 $96.15
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
Hoosier Fire Equipment
IN SUM OF $
4009 Montdale Park Drive
Valparaiso, IN 46383
$586.15
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 89115 43-510.00 $490.00 1 hereby certify that the attached invoice(s), or
1120 88964 42-370.00 $96.15 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
J — 5 201
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund