HomeMy WebLinkAbout189829 09/14/2010 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: $489.00
VALPARAISO IN 46383 CHECK NUMBER: 189829
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 0075082 -IN 489.00 AUTO REPAIR MAINTEN
INVOICE PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0075082 -IN
4009 Montdale Park Drive INVOICE DATE: 09/02/10
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 0.00 489.00 489.00
REPAIRS TO CUSTOMER'S 2002 KME PUMPER, SERIAL
#5016, ENGINE #41 AS PER ATTACHED
TAXABLE .00
NON TAXABLE 489.00
NET INVOICE: 489.00
SALES TAX: .00
FREIGHT: .00
INVOICE TOTAL: 489.00
HOOSIER FIRE EQUIPMENT, INC. HOOSIER FIRE EQUIPMENT, INC.
;.`QTY ,:'.:'PART, NO .SAND /OR. DESCRIPTION .PRICE 4009 Montdale Park Drive 3863 North Commercial Parkway
1 4" valve repair kit $182,00 Valparaiso, IN 46383 Greenfield, IN 46140
1 NDA freight $40.00 Phone: 219 462 -1707 Phone: 317 891 -8375
Toll Free: 800 552 -2691 Toll Free: 888 436 -6075
REPAIR ORDER
NAME: Carmel /Clay Twp. Fire Dept. RECEIVED: 8/30/2010 DATE: 8/31/2010
CUSTOMER
ADDRESS: 2 Carmel CIVIC Square PROMISED: ORDER#
CITY: Carmel, IN 46032 TERMS: MECHANIC: TH
PHONE:
MAKE: MODEL: YR. SERIAL NO. UNIT MILEAGE AR
KME Rene 2002 5016 Engine 41 4901
LABOR a LABORY
REPAIR,ORDER INSTRUCTIONS
"'HOURS CHARGE:
Removed LDH valve from apparatus. $267.00
Disassembled rebuilt valve with service kit reinstalled. Test operated -found no leaks.
ADDITIONAL PARTS SEE LIST ON BACK
PARTS TOTAL $222.00:
SUBLET WORK PRICE
I hereby authorize the above repair work to be done whhe 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: $267.00',
c TOTAL PARTS $222.00
NOT RESPONSIBLE FOR
MILES TRAVEL RATE PRICE ZUBLET!/VORK:
LOSS OR DAMAGE TO TRAVEL• `EXP.
CARS OR ARTICLES
LEFT IN CARS IN CASE .TAX:
OF FIRE. OTHER CAUSE BEYOND
-.,SUBLET WORK TOTAL OURCONTROL. TOTAL TRAVEL" EXPENSES
TOTAL $489.00:_
VOUCHER NO, WARRANT NO.
ALLOWED 20
Hoosier Fire Equipment
IN SUM OF
4009 Montdale Park Drive
Valparaiso, IN 46383
$489.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1 120 0075082 -IN 43- 510.00 $489.00 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
SEP 13 2010
Eire 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))
0075082-IN E41 $489.00
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