HomeMy WebLinkAbout255827 03/01/16 CITY OF CARMEL, INDIANA VENDOR: 131135
/® ONE CIVIC SQUARE HOOSIER FIRE EQUIPMENT INC CHECK AMOUNT: $*****3,594.31*
CARMEL, INDIANA 46032 4009 MONTDALE PARK DRIVE CHECK NUMBER: 255827
VALPARAISO IN 46383 CHECK DATE: 03/01/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351501 0092562-IN 1,772.01 EQUIPMENT MAINT CONTR
1120 4237000 92576 1,822.30 REPAIR PARTS
Page: 1
Invoice
Hoosier Fire Equipment,Inc. Invoice Number: 0092576-IN
4009 Montdale Park Drive Invoice Date: 12/29/2015
Valparaiso, Indiana 46383
(219)462-1707
Order Number: 0118546
Order Date 1/12/2016
Salesperson: 0400 R.W.Pressel
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
T3NIMHB EACH 12.00 12.00 0.00 124.40 1,492.80
BULLARD RECHARGEABLE BATTERY
ECLNIMHB EACH 5.00 5.00 0.00 65.90 329.50
BULLARD REPLACEMENT BATTERY FOR ECLIPSE
Net Invoice: 1,822.30
Less Discount: 0.00
Freight: 0.00
Sales Tax: 0.00
Invoice Total: 1,822.30
rescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
,n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
Thom, 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))
92576 Bullard Batteries $1,822.30
hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
ivith IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hoosier Fire Equipment
IN SUM OF$
4009 Montdale Park Drive
Valparaiso, IN 46383
$1,822.30
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 92576 42-370.00 $1,822.30 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 1 7 2016
i
f i� YQ. _hFAVITs
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Page: 1
Invoice
Hoosier Fire Equipment,Inc. Invoice Number: 0092562-IN
4009 Montdale Park Drive Invoice Date: 2/2/2016
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 1,772.01 1,772.01
PERFORMED ANNUAL SERVICE ON CUSTOMER'S AMKUS RESCUE TOOLS AS PER
ATTACHED.
Net Invoice: 1,772.01
Less Discount: 0.00
Freight: 0.00
Sales Tax: 0.00
Invoice Total: 1,772.01
I
HOOSIER FIRE EQUIPMENT, INC. HOOSIER FIRE EQUIPMENT, INC.
;QTY
�/ RT NQ�q[Up�CJR
CR,,
10 4009 Montdale Park Drive 3863 North Commercial Parkway
1 Left Handle Bracket $ 40.43 Valparaiso, IN 46383 Greenfield, IN 46140
1 Tool Connection Hose, 18" $ 39.90 Phone: 219-462-1707 Phone: 317-891-8375
1 Close/Open decal $ 1.68 Toll Free: 800-552-2691 Toll Free: 888-436-6075
1 MV-1 Mineral Base Hydraulic Fluid Incl REPAIR ORDER
NAME: Carmel Fire Department RECEIVED: 1/27/2016 DATE: 1/27/2016
CUSTOMER
ADDRESS: 2 Carmel CIVIC Square PROMISED: ORDER#
CITY: Carmel, IN 46032 TERMS: MECHANIC: MS
PHONE: Bob Van Voorst cell 317-664-0958
MAKE: MODEL: YR. SERIAL NO. UNIT MILEAGE AR#
Amkus 1 1 7912
LABOR REF?AIR ORD ER fNSTRU TIONS !ABGR
HO()R5 ,CHARGE' '
Perform annual Service on Customers Amkus: $ 1,690.00
(2)GH2B-MCH Simo Pumps S/N#16010349, 16010350, NEW,
Serviced Prior to Delivery
(2)GH2A-MCH Mini Pumps S/N#10030184, 10030183
(3)C15 Combo Tools S/N#99080580, 10021352,01010662
(1)22 Cutter S/N#09090186
(1)25 Cutter S/N#01016997
(1)24 Spreader S/N#15121020 , NEW,Serviced Prior to Delivery
(2)30CX Spreaders S/N#00124309, 96083254
(1)30R Ram S/N#96081307
(2)40R Rams S/N#96082265, 95011843R
(2)60R Rams S/N#99091146, 99091143
(4) 10"Ram Extensions
(6)20'Extension Hoses
ADDITIONAL PARTS SEE LIST ON BACK =0 1(4)30'Extension Hoses, NEW,Serviced Prior to Delivery
77
PARTS TOTALS a Vii✓ , . 82 01
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,CAI3OR NOT
RESPONSIBLE TOTALPARTS
FOR LOSS OR
DAMAGE TO CARS MILES TRAVEL RATE PRICESUBLE WCSRK,
OR ARTICLES '"
LEFT IN CARS INAVGL EXP,',,,,
. CASE OF FIRE, ii
THEFT OR ANY
OTHER CAUSE LE
a s BEYOND O
SUBTWURKTOTAL $ CONTROL.UR TOTAL TRAUEL,EXPENSES: ,$ TOTAL $ ..1,772.01;
M ..
AMKUS SERVICE& MAINTENANCE REPORT
Service Technician Name: MS Equipment Owner: Carmel Fire Department
AR or Shop Repair Number: 7912 Station/Location: Carmel FD Headquarters
Date of Service: 1/27/2016
AMKUS POWER UNIT AMKUS CUTTER and COMBINATION TOOLS
Serial Number: 16010349 Serial Number: 09090186
0GB2A-XL ❑X Generallnspection E]Model25ED FKGeneral
E1GB2A-STD FX Hydraulic Hose(s) ElModel 25S Fi Torque Center Bolt
FGH2A-Mini Pump ❑X Couplings Model 25L �X Inspect Cutter Blades
F-IGT2S-XL ❑X Hydraulic Fluid Model 25P ❑X Inspect Friction Plates
FGB2S-XL ❑X Fuel Level 7Model C-15 ❑X Clean and Lubricate
❑X GH2B-MCH �X Motor Oil Level [—]Model 25C
F]HP101-Hand Pump FModel 21 ❑X Model 22
FA 101-Air Pump Maintenance Notes: Cleaned, lubed,inspected.
Other Removed burrs from blades. Installed new
Maintenance Notes: New units serviced prior to mono coupling.
delivery to FD. Pressure tested to 10,500 psi.
AMKUS HYDRAULIC RAMS
AMKUS HYDRAULIC SPREADER F-120-R Serial No.
Serial Number: 00124309 730-R Serial No.
Model 30CX General Inspection 1X 40-R Serial No. 96082265
Model 28 Tool Operation 5X 60-R Serial No. 99091146
Model 24 Rack ShieldFKGeneral Inspection EX Rod
Arms Threads Rod End
F—xlTips Clean and Lubricate
❑X Clean and Lubricate Maintenance Notes: Cleaned,lubed,inspected.
Maintenance Notes. Cleaned,lubed,inspected. Installed new mono couplings.
Replaced left handle bracket and connection hose.
Installed new mono coupling
REPLACEMENT PARTS: ANNUAL MAINTENANCE FEE:
QTY Item No. Description Price Total Labor
$ Parts $ -
$ Other
$ - Subtotal
$ Sales Tax
$ Shipping&Handling
$ TOTAL DUE
$
AMKUS SERVICE & MAINTENANCE REPORT
Service Technician Name: MS Equipment Owner: Carmel Fire Department
AR or Shop Repair Number: 7912 Station/Location:
Date of Service: 1/27/2016
AMKUS POWER UNIT AMKUS CUTTER and COMBINATION TOOLS
Serial Number. 16010350 Serial Number. 01016997
F—IGB2A-XL ❑X General Inspection ElModel25ED EX Generallnspection
F1GB2A-STD ❑X Hydraulic Hose(s) ❑X Model 25 �X Torque Center Bolt
F—IGH2A-Mini Pump FX Couplings Model 25L �X Inspect Cutter Blades
F—IGT2S-XL FX Hydraulic Fluid Model 25P ❑X Inspect Friction Plates
F�G62S-XL ❑X Fuel Level Model C-15 ❑X Clean and Lubricate
EX GH2B-MCH FX Motor Oil Level Model 25C J
E-11-113101-Hand Pump ElModel21 FModel 22
EIA 101-Air Pump Maintenance Notes: Cleaned, lubed,inspected.
Other Installed new mono coupling.
Maintenance Notes: New units serviced prior to
delivery to FD. Pressure tested to 10,500 psi.
AMKUS HYDRAULIC RAMS
AMKUS HYDRAULIC SPREADER F120-R Serial No.
Serial Number. 96083254 FX 30-R Serial No. 96081307
Model 30CX General Inspection ❑X 40-R Serial No. 95011843R
Model 28 Tool Operation FK 60-R Serial No. 99091143
FModel 24 7x Rack Shield 7XGeneral Inspection ❑X Rod
ArmsThreads ❑X Rod End
TipsClean and Lubricate
FX Clean and Lubricate Maintenance Notes: Cleaned,tubed,inspected.
Maintenance Notes: Cleaned, lubed,inspected. Installed new mono couplings.
Installed new mono coupling.
REPLACEMENT PARTS: ANNUAL MAINTENANCE FEE:
QTY Item No. Description Price Total Labor
$ Parts $ -
$ Other
$ Subtotal
$ Sales Tax
$ - Shipping&Handling
$ TOTAL DUE
$
AMKUS SERVICE & MAINTENANCE REPORT
Service Technician Name: MS Equipment Owner: Carmel Fire Department
AR or Shop Repair Number: 7912 Station/Location:
Date of Service: 1/27/2016
AMKUS POWER UNIT AMKUS CUTTER and COMBINATION TOOLS
Serial Number. 10030184 Serial Number: 99080580
F-IGB2A-XL ❑X General Inspection E]Model25ED �X Generallnspection
FIGB2A-STD ❑X Hydraulic Hose(s) El Model 25S �X Torque Center Bolt
❑X GH2A-MCH FX Couplings El Model 25L ❑X Inspect Cutter Blades
FIGT2S-XL 5X Hydraulic Fluid I 1Model25P ❑X Inspect Friction Plates
F-IGB2S-XL 5X Fuel Level ❑X Model C-15 EX Clean and Lubricate
_ _ ! r-IGH2S-XL -_-_—_ �X Motor Oil Level � '_-FModel 25C'=~_
F]HP101-Hand Pump 7Model 21 Model 22
DA 101-Air Pump Maintenance Notes: Cleaned,lubed,inspected.
Other Removed burrs from blades.
Maintenance Notes: Cleaned,inspected,
flushed hydraulic fluid,pressure tested to
10,500 psi. AMKUS HYDRAULIC RAMS
AMKUS HYDRAULIC SPREADER 720-R Serial No.
Serial Number. 15121020 F�30-11 Serial No.
El Model 30CX General Inspection F-140-R Serial No.
Model 28 Tool Operation 060-R Serial No.
5X Model 24 5X Rack Shield General Inspection E]Rod
Arms Threads ❑Rod End
Tips Clean and Lubricate
F—xlclean and Lubricate Maintenance Notes:
Maintenance Notes: NEW unit serviced prior to
delivery to FD.
REPLACEMENT PARTS: ANNUAL MAINTENANCE FEE:
QTY Item No. Description Price Total Labor
$ Parts $ -
$ Other
$ Subtotal
$ Sales Tax
$ Shipping&Handling
$ TOTAL DUE
AMKUS SERVICE & MAINTENANCE REPORT
Service Technician Name: MS Equipment Owner: Carmel Fire Department
AR or Shop Repair Number: 7912 Station/Location:
Date of Service: 1/27/2016
AMKUS POWER UNIT AMKUS CUTTER and COMBINATION TOOLS
Serial Number. 10030183 Serial Number. 10021352
FIGB2A-XL 7X General Inspection EModel 25ED ❑X Generallnspection
F–IGB2A-STD FX Hydraulic Hose(s) Model 25S IX Torque Center Bolt
7X GH2A-MCH MX Couplings 7Model 25L ❑X Inspect Cutter Blades
7GT2S-XL FX Hydraulic Fluid ❑Model 25P ❑X Inspect Friction Plates
F–IGB2S-XL ❑X Fuel Level FX Model C-15 [X Clean and Lubricate
7GH2S-XL � �X Motor Oil Level E]Mode125CI
F-11-113101-Hand Pump Model 21 Model 22
7A 101-Air Pump Maintenance Notes: Cleaned, lubed,inspected.
Other Removed burrs from blades.
Maintenance Notes: Cleaned&inspected.
Flushed hydraulic fluid. Pressure tested to
10,500 psi. AMKUS HYDRAULIC RAMS
AMKUS HYDRAULIC SPREADER D20-R Serial No.
Serial Number: ❑30-R Serial No.
Model 30CX 7General Inspection 1-140-R Serial No.
[—]Model28E]ToolOperation F-160-R Serial No.
ElModel 24 ❑Rack Shield General Inspection Rod
Arms Threads Rod End
Tips OClean and Lubricate
Clean and Lubricate _ Maintenance Notes.
Maintenance Notes:
REPLACEMENT PARTS: ANNUAL MAINTENANCE FEE:
QTY Item No. Description Price Total Labor
$ Parts $ -
$ Other
$ Subtotal
$ Sales Tax
$ Shipping& Handling
$ - TOTAL DUE
$
AMKUS SERVICE & MAINTENANCE REPORT
Service Technician Name: MS Equipment Owner: Carmel Fire Department
AR or Shop Repair Number: 7912 Station/Location:
Date of Service: 1/27/2016
AMKUS POWER UNIT AMKUS CUTTER and COMBINATION TOOLS
Serial Number: Serial Number. 96080302 U/D
F—IGB2A-XL ElGeneral Inspection FModel 25ED ❑X General Inspection
FGB2A-STD FHydraulic Hose(s) �X Model 25S FX Torque Center Bolt
7GH2A-Mini Pump 7Couplings I 1Model25L ❑X Inspect Cutter Blades
F—IGT2S-XL FHydraulic Fluid E Model 25P ❑X Inspect Friction Plates
F—IGB2S-XL Fuel Level Model C-15 ZX Clean and Lubricate
E1GH2S-XL ElMotor Oil LevelModel 25C
F]HP101-Hand Pump ElModel 21 ElModel 22
FA 101-Air Pump Maintenance Notes: Cleaned,lubed,inspected.
Other Removed burrs from blades.
Maintenance Notes: This is a reserve tool
AMKUS HYDRAULIC RAMS
AMKUS HYDRAULIC SPREADER F-120-R Serial No.
Serial Number. 730-R Serial No.
Model 30CX FGeneral Inspection F-140-R Serial No.
Model 28 Tool Operation 760-11 Serial No.
0 Model 24 ❑Rack Shield ❑General Inspection E]Rod
Arms ElThreads ❑Rod End
Tips Clean and Lubricate
Clean and Lubricate Maintenance Notes:
Maintenance Notes:
REPLACEMENT PARTS: ANNUAL MAINTENANCE FEE:
QTY Item No. Description Price Total Labor
$ Parts $ -
$ Other
$ Subtotal
$ Sales Tax
$ Shipping&Handling
$ TOTAL DUE
$
AMKUS SERVICE & MAINTENANCE REPORT
Service Technician Name: MS Equipment Owner: Carmel Fire Department
AR or Shop Repair Number: 7912 Station/Location:
Date of Service: 1/27/2016
AMKUS POWER UNIT AMKUS CUTTER and COMBINATION TOOLS
Serial Number. Serial Number. 01010662
F—IGB2A-XL FIGeneral Inspection E]Model25ED ❑X General Inspection
FGB2A-STD FHydraulic Hose(s) Model 25S FX Torque Center Bolt
DGH2A-Mini Pump FICouplings Model 25L ❑X Inspect Cutter Blades
F—IGT2S-XL Hydraulic Fluid Model 25P ❑X Inspect Friction Plates
OGB2S-XL Fuel Level FX Model C-15 ZX Clean and Lubricate
F—IGH2S-XL M Motor Oil Level [:]Model 25C
FHP101-Hand Pump 0 Model 21 Model 22
EIA 101-Air Pump Maintenance Notes: Cleaned,lubed,inspected.
Other
Maintenance Notes: This is a reserve tool.
AMKUS HYDRAULIC RAMS
AMKUS HYDRAULIC SPREADER 020-11 Serial No.
Serial Number. ❑30-R Serial No.
Model 30CX General Inspection F-140-R Serial No.
Model 28 Tool Operation F-160-R Serial No.
❑Model 24 ❑Rack Shield 7General Inspection ❑Rod
Arms 7Threads E]Rod End
Tips 7clean and Lubricate
Clean and Lubricate Maintenance Notes:
Maintenance Notes:
REPLACEMENT PARTS: ANNUAL MAINTENANCE FEE:
QTY Item No. Description Price Total Labor
$ Parts $ -
$ Other
$ Subtotal
$ Sales Tax
$ Shipping&Handling
$ TOTAL DUE
$
3rescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
Nhom, 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))
92562 $1,772.01
1 hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hoosier Fire Equipment
IN SUM OF$
4009 Montdale Park Drive
Valparaiso, IN 46383
$1,772.01
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 92562 43-515.01 $1,772.01 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
VZ
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund