182383 02/17/2010 a CITY OF CARMEL, INDIANA VENDOR: 131135 Page 1 of 1
ONE CIVIC SQUARE HOOSIER FIRE EQUIPMENT INC
CARMEL, INDIANA 46032 4009 MONTDALE PARK DRIVE CHECK AMOUNT: $1,679.50
VALPARAISO IN 46383 CHECK NUMBER: 182383
CHECK DATE: 2/17/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 0073313 -IN 1,679.50 AUTO REPAIR MAINTEN
INVOICE PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0073313 -IN
4009 Montdale Park Drive INVOICE DATE: 02/03/10
Valparaiso, Indiana 46383
ORDER NUMBER:
ORDER DATE:
(219) 462 -1707 SALESPERSON House
CUSTOMER NO: 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 NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT
/SERVICE EACH 1.00 1.00 0.00 1,679.50 1,679.50
REPAIRS TO CUSTOMER'S 1996 KME PUMPER, SERIAL
#2670 AS PER ATTACHED
TAXABLE .00
NON- TAXABLE 1,679.50
NET INVOICE: 1,679.50
SALES TAX: .00
FREIGHT: .00
INVOICE TOTAL: 1,679.50
HOOSIER FIRE EQUIPMENT, INC. HOOSIER FIRE EQUIPMENT, INC.
QTY' PART_NO •AND /OR- DESCRIPTIONi PRICE 4009 Montdale Park Drive 3863 North Commercial Parkway
1 large auto -rube repair kit $151.00 Valparaiso, IN 46383 Greenfield, IN 46140
1 threaded trunion for 8830 $6.00 Phone: 219- 462 -1707 Phone: 317- 891 -8375
1 2.5" valve repair kit $115.00 Toll Free: 800- 552 -2691 Toll Free: 888 436 -6075
3 3" valve repair kit ($167.00 ea) $501.00 REPAIR ORDER
1 2.5" x 2" galvanized bushing $16.50 NAME: CARMEL FIRE DEPARTMENT RECEIVED: 2/1/2010 DATE: 2/112010
CUSTOMER
ADDRESS: TWO CIVIC SQUARE PROMISED: ORDER#
CITY: CARMEL, INDIANA 46032 TERMS: MECHANIC: TH
PHONE:
MAKE: MODEL: YR. SERIAL NO. UNIT MILEAGE AR
KME Renegade 1996 GSO 2670 Engine 44 81,668 4528
LABOR LABOR
REPAIR ORDER INSTRUCTIONS
-HOURS EHARGE
Remove and rebuild auto -lube system.
Rebuild #2 discharge valve
Rebuild #4 discharge valve
Rebuild tand to pump valve
Rebuild deck gun valve
Replace tank fill reducing bushing at booster tank
Rebuild front suction drain $890.00
Vacuum tested after all repairs complete. Lost only
1.5" Hg in five minutes.
ADDITIONAL PARTS SEE LIST ON BACK
PARTS TOTAL $789:50:
SUBLET WORK PRICE
I hereby authorize the above repair work to be done wlthe 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 LABOR: 890.00
TOTAL PARTS: 789.50
NOT RESPONSIBLE
FOR LOSS OR MILES TRAVEL RATE PRICE SUBLET WORK
DAMAGE TO CARS p
OR ARTICLES LEFT
TRAVEL EXP,
IN CARS IN CASE OF
FIRE, THEFT OR TAX
ANY OTHER CAUSE
t BEYOND OUR
SUBLET WORK TOTAL CONTROL. TOTALTRAVEL EXPENSES; TOTAL 1,679.50.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hoosier Fire Equipment
IN SUM OF
4009 •Montdale Park Drive
Valparaiso, IN 46383
$1,679.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO- ACCT #!TITLE AMOUNT Board Members
1120 0073313 -IN 43- 510.00 $1,679.50 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 2010
7 r c
p _a
-J
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
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
0073313 -IN Repair E44 $1,679.50
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