HomeMy WebLinkAbout250263 10/07/15 o`%u Coq%% CITY OF CARMEL, INDIANA VENDOR: 131135
d ONE CIVIC SQUARE HOOSIER FIRE EQUIPMENT INC CHECK AMOUNT: $*****3,258.00*
3 CARMEL, INDIANA 46032 4009 MONTDALE PARK DRIVE CHECK NUMBER: 250263
'''<'TON�: VALPARAISO IN 46383 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 91425 3,258.00 AUTO REPAIR & MAINTEN
I ,
Page: 1
Invoice
Hoosier Fire Equipment, Inc. Invoice Number: 0091425-IN
4009 Montdale Park Drive Invoice Date: 9/23/2015
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 Net 10
Item Code Unit Ordered Shipped Back Ordered Price Amount
/SERVICE EACH 1.00 1.00 0.00 362.00 362.00
AR 7612: PERFORMED ANNUAL PUMP TEST[FAILED]ON 1989 GRUMAN AERIALCAT LADDER
40 SIN 18125-AC102.SEE ATTACHED.
/SERVICE EACH 1.00 1.00 0.00 362.00 362.00
AR 7612: PERFORMED ANNUAL PUMP TEST[PASSED]ON 1995 KME PUMPER ENGINE 49 SIN
2670.SEE ATTACHED.
/SERVICE EACH 1.00 1.00 0.00 362.00 362.00
AR 7612:PERFORMED ANNUAL PUMP TEST[PASSED]ON 1996 KME PUMPER ENGINE 40 SIN
2930.SEE ATTACHED.
/SERVICE EACH 1.00 1.00 0.00 362.00 362.00
AR 7612: PERFORMED ANNUAL PUMP TEST[PASSED]ON 1996 KME PUMPER ENGINE 46 SIN
2931.SEE ATTACHED.
/SERVICE EACH 1.00 1.00 0.00 362.00 362.00
AR 7612: PERFORMED ANNUAL PUMP TEST[PASSED]ON 2002 KME PUMPER ENGINE 43 SIN
5016.SEE ATTACHED.
/SERVICE EACH 1.00 1.00 0.00 362.00 362.00
AR 7612: PERFORMED ANNUAL PUMP TEST ON[PASSED]ON 2003 KME PUMPER ENGINE 45
SIN 5340.SEE ATTACHED.
/SERVICE EACH 1.00 1.00 0.00 362.00 362.00
AR 7612:PERFORMED ANNUAL PUMP TEST[PASSED]ON 2003 ALFCO AERIAL ENGINE 42
SIN 0108975.SEE ATTACHED.
/SERVICE EACH 1.00 1.00 0.00 362.00 362.00
AR 7612:PERFORMED ANNUAL PUMP TEST[PASSED]ON 2011 SEAGRAVE PUMPER ENGINE
41 SIN 78G45.SEE ATTACHED.
/SERVICE EACH 1.00 1.00 0.00 362.00 362.00
AR 7612: PERFORME ANNUAL PUMP TEST[PASSED]ON 2011 SEAGRAVE PUMPER ENGINE
44 SIN 78G46.SEE ATTACHED.
Net Invoice: 3,258.00
Less Discount: 0.00
Freight: 0.00
Sales Tax: 0.00
Invoice Total: 3,258.00
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))
91425 $3,258.00
I
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hoosier Fire Equipment
IN SUM OF $
4009 Montdale Park Drive
Valparaiso, IN 46383
$3,258.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 91425 43-510.00 $3,258.00 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
'n L I -
t
P.
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund