185782 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 131135 Page 1 of 1
ONE CIVIC SQUARE HOOSIER FIRE EQUIPMENT INC
0 CHECK AMOUNT: $17,593.00
CARMEL, INDIANA 46032 4009 MONTDALE PARK DRIVE
VALPARAISOIN 46383 CHECK NUMBER: 185782
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 12793 74152 17,593.00
INVOICE PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0074152 -IN
4009 Montdale Park Drive INVOICE DATE: 05/10/10
Valparaiso, Indiana 46383
ORDER NUMBER:
ORDER DATE:
(219) 462 -1707 SALESPERSON House
CUSTOMER NO: CARM01
SOLD TO: SHIP TO:
City of Carmel Fire Department Carmel Fire Department
Steve A. Couts Fire Headqrts. 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
/SORDER EACH 1.00 1.00 0.00 17,593.00 17,593.00
COMMAND LIGHT LIGHT TOWER TO BE INSTALLED ON NEW
SEAGRAVE MARAUDER II TDA, SERIAL #76397
TAXABLE .00
NON- TAXABLE 17,593.00
NET INVOICE: 17,593.00
SALES TAX: .00
FREIGHT: .00
INVOICE TOTAL: 17,593.00
VOUCHER NCB. WARRANT NO.
ALLOWED 20
Hoosier Fire Equipment
IN SUM OF
4009 Montdale Park Drive
Valparaiso, IN 46383
$17,593.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO, ACCT /TITLE AMOUNT Board Members
12793 74152 43- 510.00 $17,593.00 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
MAY 2 4 2010
f
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts I 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))
74152 Light Tower New Tiller $17,593.00
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