241742 02/03/15 `'u �qp''f CITY OF CARMEL, INDIANA VENDOR: 131135
® i`. ONE CIVIC SQUARE HOOSIER FIRE EQUIPMENT INC CHECK AMOUNT: $*******107.00*
CARMEL, INDIANA 46032 4009 MONTDALE PARK DRIVE CHECK NUMBER: 241742
"�„i�oN .� VALPARAISO IN 46383 CHECK DATE: 02/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 89341 107.00 REPAIR PARTS
Page: 1
Invoice
Hoosier Fire Equipment, Inc. Invoice Number: 0089341-IN
4009 Montdale Park Drive Invoice Date: 1/22/2015
Valparaiso,Indiana 46383
(219)462-1707
Order Number: 0116317
Order Date 12/24/2014
Salesperson: 0000 House
Customer Number: CARM01
Sold To: Ship To:
Carmel Fire Department Carmel Fire Department
2 Civic Square 2 Civic Square
Carmel,IN 46032-7543 Carmel,IN 46032-7543
Confirm To:
Customer P.O. Ship VIA F.O.B. Terms
OUR DELIVERY SHIPPING POINT Net 10
Item Code Unit Ordered Shipped Back Ordered Price Amount
/SORDER EACH 4.00 4.00 0.00 22.00 88.00
#P1747400 - SEAGRAVE INSTRUCTION LABEL
Net Invoice: 88.00
Less Discount: 0.00
Freight: 19.00
Sales Tax: 0.00
Invoice Total: 107.00
VOUCHER NO. WARRANT NO.
r ALLOWED 20
Hoosier Fire Equipment 1
IN SUM OF$
4009 Montdale Park Drive
Valparaiso, IN 46383
i
$107.00
ON ACCOUNT OF APPROPRIATION FOR
I
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 89341 42-370.00 $107.00 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
FEB 2 5.
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
o:Terms
Date Due
Invoice Invoice Description Amount
Date. Number (or note attached invoice(s)or bill(s))
89341 $107.00
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