188847 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 131135 Page 1 of 1
ONE CIVIC SQUARE HOOSIER FIRE EQUIPMENT INC CHECK AMOUNT: $5,020.13
CARMEL, INDIANA 46032 4009 MONTDALE PARK DRIVE
VALPARAISO IN 46383 CHECK NUMBER: 188847
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CHECK DATE: 8118/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 74846 351.00 REPAIR PARTS
1120 4351000 74856 4,669.13 AUTO REPAIR MAINTEN
INVOICE PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0074846 -IN
4009 Montdale Park Drive INVOICE DATE: 08/06/10
Valparaiso, Indiana 46383
ORDER NUMBER: 0106518
ORDER DATE: 07/28/10
(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
E41 /STOCK UNITED PARCEL Net 10
ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT
/SORDER EACH 3.00 3.00 0.00 117.00 351.00
#538 1540 -00 -0, HALE MIV AIR BLEEDER VALVE
ASSEMBLY
TAXABLE .00
NON- TAXABLE 351.00
NET INVOICE: 351.00
SALES TAX: .00
FREIGHT: .00
INVOICE TOTAL:. 351.00
INVOICE PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0074856 -IN
4009 Montdale Park Drive INVOICE DATE: 08/06/10
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 4,669.13 4,669.13
REPAIRS ON CUSTOMER'S GRUMMAN 102' AERIALCAT,
LADDER #41 AS PER ATTACHED
TAXABLE .00
NON- TAXABLE 4,669.13
NET INVOICE: 4,669.13
SALES TAX: .00
FREIGHT: .00
INVOICE TOTAL: 4,669.13
HOOSIER FIRE EQUIPMENT, INC. HOOSIER FIRE EQUIPMENT, INC.
')QTY' PART NO. /OR=DESCRIPTION. ,PRICE 4009 Montdale Park Drive 3863 North Commercial Parkway
2 slide blocks $85.12 Valparaiso, IN 46383 Greenfield, IN 46140
2 slide blocks $64.54 Phone: 219 462 -1707 Phone: 317 -891 -8375
2 slide blocks $88.65 Toll Free: 800 552 -2691 Toll Free: 888- 436 -6075
2 slide blocks $101.19 REPAIR ORDER
1 slide blocks $28.03 NAME: Carmel IED RECEIVED: 7/14/2010 DATE: 7/23/2010
CUSTOMER
1 slide blocks $28.03 ADDRESS: 2 Carmel Civic Square PROMISED: ORDER
2 slide blocks $74.26 CITY: Carmel, IN 46032 TERMS: MECHANIC: MS SHOP
rebuild extension cylinder, transport to and from PHONE Bob Van Voorst, Maint. Chief 317- 664 -0958 cell
1 cylinder shop $2,388.81
1 shippinglfreight $7 MAKE: MODEL: YR. SERIAL NO. UNIT MILEAGE AR#
Grumman 102' Aerial Cat 1989 18125 Ladder 41 47,966 4819
=LABOR L LABOR,. s
REPAIR ORDER INSTRUCTIONS
HOURS` f CHARGE.
Customer c/o ladder extension cylinder leaking fluid.
Upon arrival at MS shop, found left side cylinder leaking fluid. Removed cylinder. $667.50
Installed rebuilt cylinder and begin slide block replacement. $712.00
Finish installation of slide blocks, Test run unit to check for leaks. $356.00
ADDITIONAL PARTS SEE LIST ON BACK
PARTS TOTAL 2,933:63.
SUBLET WORK PRICE
I hereby authorize the above repair work to be done w /the 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
X I .TOTAL LABOR ..:1 735:50'
,TOTAL PARTS 2
MILES TRAVEL RATE PRICE `.SUBLET WORK:
NOT RESPONSIBLE FOR
LOSS OR DAMAGE TO TR]AVEL EXP,
CARS OR ARTICLES LEFT
IN CARS IN CASE OF FIRE,��
i
THEFT OR ANY OTHER
r CAUSE BEYOND OUR
SUBLET:.WORK TOTAL' CONTROL. TOTAL TRAVEL'.EXPENSES'. TOTAL 4,669:13
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hoosier Fire Equipment
IN SUM OF
4009 Montdale Park Drive
Valparaiso, IN 46383
$5,020.13
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 74856 43- 510.00 $4,669.13 1 hereby certify that the attached invoice(s), or
1120 74846 42- 370.00 $351.00 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
AUG 16 P14
A
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))
74856 $4,669.13
74846 $351.00
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