183326 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 131135 Page 1 of 1
ONE CIVIC SQUARE HOOSIER FIRE EQUIPMENT INC
CHECK AMOUNT: $2,722.50
CARMEL, INDIANA 46032 4009 MONTDALE PARK DRIVE
VALPARAISOIN 46383 CHECK NUMBER: 183326
CHECK DATE: 311 612 01 0
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356003 12763 73497 2,722.50
r"
INVOICE PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0073497 -IN
4009 Montdale Park Drive INVOICE DATE: 02/26/10
Valparaiso, Indiana 46383
ORDER NUMBER: 0105555
ORDER DATE: 02/08/10
(219) 462 -1707 SALESPERSON R. W. Pressel
CUSTOMER NO: CARMOI
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 Net 10
ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT
M0975 EACH 1.00 1.00 0.00 247.50 247.50
BLACK DIAMOND 14" LEATHER BUNKER BOOT WITH VIBRAM
OUTSOLE, SIZE 6 -1/2 MEDIUM
M0975 EACH 2.00 2.00 0.00 247.50 495.00
BLACK DIAMOND 14" LEATHER BUNKER BOOT WITH VIBRAM
OUTSOLE, SIZE 8 -1/2 MEDIUM
M0975 EACH 1.00 1.00 0.00 247.50 247.50
BLACK DIAMOND 14" LEATHER BUNKER BOOT WITH VIBRAM
OUTSOLE, SIZE 9 MEDIUM
M0975 EACH 1.00 1.00 0.00 247.50 247.50
BLACK DIAMOND 14" LEATHER BUNKER BOOT WITH VIBRAM
OUTSOLE, SIZE 10 MEDIUM
M0975 EACH 1.00 1.00 0.00 247.50 247.50
BLACK DIAMOND 14" LEATHER BUNKER BOOT WITH VIBRAM
CONTINUED
INVOICE PAGE: 2
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0073497 -IN
4009 Montdale Park Drive INVOICE DATE: 02/26/10
Valparaiso, Indiana 46383
ORDER NUMBER: 0105555
ORDER DATE: 02/08/10
(219) 462 -1707 SALESPERSON R. W. Pressel
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
UNITED PARCEL Net 10
ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT
OUTSOLE, SIZE 10 -1/2 MEDIUM
M0975 EACH 1.00 1.00 0.00 247.50 247.50
BLACK DIAMOND 14" LEATHER BUNKER BOOT WITH VIBRAM
OUTSOLE, SIZE 11 MEDIUM
W0975 EACH 1.00 1.00 0.00 247.50 247.50
BLACK DIAMOND 14" LEATHER BUNKER BOOT WITH VIBRAM
OUTSOLE, SIZE 10 WIDE
W0975 EACH 1.00 1.00 0.00 247.50 247.50
BLACK DIAMOND 14" LEATHER BUNKER BOOT WITH VIBRAM
OUTSOLE, SIZE 10 -1/2 WIDE
W0915 EACH 1.00 1.00 0.00 247.50 247.50
BLACK DIAMOND 14" LEATHER BUNKER BOOT WITH VIBRAM
OUTSOLE, SIZE 11 WIDE
CONTINUED
INVOICE PAGE: 3
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0073497 -IN
4009 Montdale Park Drive INVOICE DATE: 02/26/10
Valparaiso, Indiana 46383
ORDER NUMBER: 0105555
ORDER DATE: 02/08/10
(219) 462 -1707 SALESPERSON R. W. Pressel
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
UNITED PARCEL Net 10
ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT
W0975 -12 EACH 1.00 1.00 0.00 247.50 247.50
BLACK DIAMOND 14" LEATHER BUNKER BOOT WITH VIBRAM
OUTSOLE, SIZE 12 WIDE
TAXABLE .00
NON- TAXABLE 2,722.50
NET INVOICE: 2,722.50
SALES TAX: .00
FREIGHT: .00
INVOICE TOTAL: 2,722.50
VOUCHER NO. WARRANT NO,
ALLOWED 20
Hoosier Fire Equipment
IN SUM OF
4009 Montdale Park Drive
Valparaiso, IN 46383
$2,722.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# f Dept. INVOICE NO. ACCT #!TITLE AMOUNT
Board Members
12763 73497 43- 560.03 $2,722.50 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
MAR 15 2010
t-K�
U
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))
73497 Fireboots $2,722.50
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