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308550 02/28/17 .y"!-4ggy� CITY OF CARMEL, INDIANA VENDOR: 131135 °' ONE CIVIC SQUARE HOOSIER FIRE EQUIPMENT INC CHECK AMOUNT: $"*****334.15* =Q CARMEL, INDIANA 46032 4009 MONTOALE PARK DRIVE CHECK NUMBER: 308550 _vy, ;: VALPARAISO IN 46383 CHECK DATE: 02/28/17 �roN�O' DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 0095811-IN 215.40 REPAIR PARTS 1120 4237000 0095812-IN 118.75 REPAIR PARTS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 131135 I HOOSIER FIRE EQUIPMENT INC N SUM OF$ CITY OF CARMEL 4009 MONTDALE PARK DRIVE 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. VALPARAISO, IN 46383 Payee $334.15 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 0095811-IN 42-370.00 $215.40 1 hereby certify that the attached invoice(s),or 2/16/17 0095811-IN $215.40 1120 101 1120 101 0095812-IN 42-370.00 $118.75 bill(s)is(are)true and correct and that the 2/16/17 0095812-IN $118.75 1120 1 1 101 1 materials or services itemized thereon for 1120 101 which charge is made were ordered and received except Friday, February 17,2017 David Haboush Fire Chief 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Page: 1 Invoice Hoosier Fire Equipment,Inc. Invoice Number: 0095812-IN 4009 Montdale Park Drive Invoice Date: 2/10/2017 Valparaiso, Indiana 46383 (219)462-1707 Order Number: 0120563 Order Date 1/11/2017 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 4 Amount ECLRETRACT EACH 2.00 2.00 0.00 56.65 113.30 BULLARD ECLIPSE RETRACTABLE LANYARD Net Invoice: 113.30 Less Discount: 0.00 Freight: 5.45 Sales Tax: 0.00 Invoice Total: 118.75 Page: 1 Invoice Hoosier Fire Equipment,Inc. Invoice Number: 0095811-IN 4009 Montdale Park Drive Invoice Date: 2/10/2017 Valparaiso, Indiana 46383 (219)462-1707 Order Number: 0120596 Order Date 1/18/2017 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--Y Amount ---- /SORDER EACH 2.00 2.00 0.00 103.50 207.00 #8080-7000-13-AKRON/WELDON DUAL LED DOME,GROUND SW,BK BEZEL,RED/CLEAR Net Invoice: 207.00 Less Discount: 0.00 Freight: 8.40 Sales Tax: 0.00 Invoice Total: 215.40