184786 04/27/2010 a CITY OF CARMEL, INDIANA VENDOR: 131135 Page 1 of 1
ONE CIVIC SQUARE HOOSIER FIRE EQUIPMENT INC
CHECK AMOUNT: $4,348.12
.y. /o CARMEL, INDIANA 46032 4009 MONTDALE PARK DRIVE
i w VALPARAISO IN 46383 CHECK NUMBER: 184786
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 73894 1,930.32 AUTO REPAIR MAINTEN
102 4467099 73975 35.00 OTHER EQUIPMENT
102 4467099 12775 73975 2,382.80
C
INVOICE PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0073894 -IN
4009 Montdale Park Drive INVOICE DATE: 04/09/10
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 1,930.32 1,930.32
REPAIRS TO CUSTOMER'S 1089 KME PUMPER, SERIAL
#0618 AS PER ATTACHED
TAXABLE .00
NON- TAXABLE 1,930.32
NET INVOICE: 1,930.32
SALES TAX: .00
FREIGHT: .00
INVOICE TOTAL: 1,930.32
HOOSIER FIRE EQUIPMENT, INC. HOOSIER FIRE EQUIPMENT, INC.
QTY NO";ANDI /OR DESCRIPTION PRICE 4009 Montdale Park Drive 3863 North Commercial Parkway
1 2" valve kit $81.65 Valparaiso, IN 46383 Greenfield, IN 46140
1 3" valve kit $120.96 Phone: 219 462 -1707 Phone: 317 -891 -8375
1 3.5" hose $42.32 Toll Free: 800- 552 -2691 Toll Free: 888 436 -6075
4 heavy duty clamps, 4" $38.58 REPAIR ORDER
1 ZM pump packing kit $126.78 NAME: Carmel Fire Department RECEIVED: 4/6/2010 DATE: 4/8/2010
1 asket rear bearing housi CUSTOMER
g g g $2.62 ADDRESS: 2 Carmel Civic Square PROMISED: ORDER!
2 gasket front bearing housing $5.24 CITY: Carmel, IN 46032 TERMS: MECHANIC: MS SHOP
1 gasket packing housing $2.55 PHONE: Jason Force cell 317- 690 -4283
1 j GDU cover gasket $3.23 MAKE: MODEL: YR. SERIAL N0. UNIT MILEAGE AR
6 Igear oil $18.40 KME Firefox 1989 1 K9AF4283LN058230 Engine 1 100,924 4682
1 2" x 6.5" galvanized pipe nipple $19.49 LABOR' :.LABOR
REPAIR ORDER INSTRUCTIONS"
HOURS CHARGE.
Customer requested replace pump packing, repair tank to pump hose, and rebuild $1,468.50
#2 crosslay valve.
Attempted to blow out old packing without success. Removed pump transmission
to access packing. All packing including old lantern rings removed. Found only
one lantern ring in the stack. Replaced with new packing and properly installed
lantern rings. Replaced transmission and adjusted packing.
Removed #2 crosslay valve and found defective pipe nipple. Rebuild valve and
replaced 2" x 6.5" galvanized nipple.
Removed tank to pump valve to gain access to the leaking hose. Replaced hose
and installed heavy duty clamps. Installed kit in tank suction valve while it was out
on the bench.
ADDITIONAL PARTS SEE LIST ON B
PARTS TOTAL $46:1'8?
SUBLET WORK PRICE
I hereby authorize the above repair work to be done wlthe necessary maleriat, 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
X TOTAL LABOR:
'468
TOTAL PARTS: $461':82
MILES TRAVEL RATE PRICE SUBLET WORK:
NOT RESPONSIBLE FOR
LOSS OR DAMAGE TO TRAVEL EXP..
CARS OR ARTICLES LEFT
IN CARS IN CASE OF FIRE, T'X
J THEFT OR ANY OTHER
SUBLET WORK TOTAL
C AUSE
C ONTRO L. TOTAL TRAVEL EXPENSES:' TOTAL $,1;930.32"
INVOICE PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0073975 -IN
4009 Montdale Park Drive INVOICE DATE: 04/16/10
Valparaiso, Indiana 46383
ORDER NUMBER: 0105836
ORDER DATE: 03/24/10
(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
MOTOR FREIGHT Net 10
ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT
HS -250 LGTH 20.00 20.00 0.00 119.14 2,382.80
50' LENGTH #8D25X50W25N 2 -1/2" "HOOSIER
SUPREME" DOUBLE JACKET, ALL POLYESTER FIRE HOSE
WITH 2 -1/2" NST COUPLINGS
TAXABLE .00
NON TAXABLE 2,382.80
NET INVOICE: 2,382.80
SALES TAX: .00
FREIGHT: 35.00
INVOICE TOTAL: 2,417.80
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hoosier Fire Equipment
IN SUM OF
4009 Montdale Park Drive
Valparaiso, IN 46383
$4,348.12
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO, ACCT #/TITLE AMOUNT Board Members
1120 73975 102- 670.99 $35.00 1 hereby certify that the attached invoice(s), or
1120 0073894 43- 510.00 $1,930.32 bill(s) is (are) true and correct and that the
12775 73975 1 102 670.99 $2,382.80
Materials or services itemized thereon for
which charge is made were ordered and
received except
APR 2 6 2010
l v V -r
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))
73975 $35.00
0073894 E41 $1,930.32
73975 $2,382.80
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