HomeMy WebLinkAbout259047 05/31/16 1�u�...fi�F,yf
J� �� CITY OF CARMEL, INDIANA VENDOR: 131135
s �l ONE CIVIC SQUARE HOOSIER FIRE EQUIPMENT INC CHECK AMOUNT: $*******286.00*
:. ,_� CARMEL, INDIANA 46032 4009 MONTDALE PARK DRIVE CHECK NUMBER: 259047
<,y,, r VALPARAISO IN 46383 CHECK DATE: 05/31/16
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 0093432-IN 286.00 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
HOOSIER FIRE EQUIPMENT INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
4009 MONTDALE PARK DRIVE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
VALPARAISO, IN 46383 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$286.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
93432 42-370.00 $286.00 1 hereby certify that the attached invoice(s),or 5/18/16 93432 $286.00
1120 101 1120 101
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
Wednesday, May 18,2016
David Haboush
Fire Chief
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-
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Page: 1
Invoice
Hoosier Fire Equipment,Inc. Invoice Number: 0093432-IN
4009 Montdale Park Drive Invoice Date: 5/4/2016
Valparaiso,Indiana 46383
(219)462-1707
Order Number: 0119087
Order Date 4/11/2016
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
OUR DELIVERY SHIPPING POINT Net 10.
Item Code Unit Ordered Shipped Back Ordered Price Amount
/SORDER EACH 4.00 4.00 0.00 69.00 276.00
#820344000900S-AMKUS SUPER SWIVEL,TOOL CONNECTION,INCLUDES ADAPTER
Net Invoice: 276.00
Less Discount: 0.00
Freight: 10.00
Sales Tax: 0.00
Invoice Total: 286.00