192836 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 131135 Page 1 of 1
ONE CIVIC SQUARE HOOSIER FIRE EQUIPMENT INC CHECK AMOUNT: $3,859.00
CARMEL, INDIANA 46032 4009 MONTOALE PARK DRIVE
VALPARAISO IN 46383
CHECK NUMBER: 192836
CHECK DATE: 12/15/2010
DEPARTMENT AC COUN T PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 75563 3,859.00 AUTO REPAIR MAINTEN
12/10/2010 08:27 2194640283 HOOSIER FIRE EQUIP PAGE 02
INVOICE PAGE: 1
Hoosier Fire Egoi_pmen't, Inc. INVOICE NUMBER: 0075553 --IN
4009 Montdale Park Drive INVOICE DACE: 10/28/10
Valparaiso, Indiana 46383
ORDER NUMBER:
ORDER I )ATE:
(229) 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 45032 -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 0.00 769.00 769.00
PERFORMED ANNUAL PREVENTATIVE MAINTENANCE, PUMP
`PEST. AND REPAIRS ON CUSTOMER'S 1989 GRUMMAN
AERIAL, L -40, SERIAL #18125 -AC102 AS PER
ATTACHED
/SERVICE EACH 1.00 1.00 0.00 376.00 378.00
PERFORMED ANNUAL PUMP TEST AND REPAIRS ON
CUSTOMER'S 1989 KME PUMPED, RESCUE #40 SERIAL
9618 AS PER ATTACHED
/SERVICE EACH 1.00 1.00 0.00 240.00 240.00
PERFORMED ANNUAL PUMP TEST ON CUS'TOMER'S 1995 KME
PUMPER, UNIT #44:, SERIAL 42670 AS PER ATTACHED
/SERVICE EACH 1.00 1.00 0.00 240.00 240.00
PERFORMED ANNUAL PUMP TEST ON CUSTOMER'S 1996 KME
PUMPER, UNIT #43, SERIAL #2930 AS PER ATTACHED
CONTINUED
12/10/2010 08:27 2194640283 HOOSIER FIRE EQUIP PAGE 03
INVOICE PAGE: 2
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0075563 IN
4009 Montdale Park Drive INVOICE DATE; 10/28/10
Valparaiso, Indiana 46383
ORDER NUMBER:
ORDER DATE:
(219) 4621707 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 0.00 240.00 240.00
PERFORMED ANNUAL PUMP TEST ON CUSTOMER'S 7 -996 KME
PUMPER, UNIT 446, SERIAL #2931 AS PER ATTACHED
/SERVICE EACH 1.00 1.00 0.00 955.00 956.00
PERFORMED ANNUAL PREVENTATIVE MAINTENANCE, PUMP
TEST, AND REPAIRS ON CUSTOMER'S 2002 ALFCO 75'
SERIAL, UNIT #44, SERIAL #0108975 AS PER
ATTACHED
/SERVICE EACH 1.00 1.00 0.00 240.00 240.00
PERFORMED ANNUAL PUMP TEST ON CUSTOMER'S 2002 KME
PUMPER, UNIT #41, SERIAL 05016 AS PER
ATTACHED
/SERVICE EACH 1.00 1.00 0100 796.00 796.00
PERFORMED ANNUAL PUMP TEST AND RE,PSI.RS ON
CUSTOMER'S 2.003 KME PUMPER, UNIT #45, SERIAL 05340
AS PER ATTACHED
CONTINUED
12/10/2010 08:27 2194640283 HOOSIER FIRE EQUIP PAGE 01
'INVOICE PAGE: 3
Hoosier Fire Equipment, Inc. INVOICE NUMB, .5R: 0075563 IN
4009 Montdale Park Drive INVOICE DATE: 10 /28/10
Valparaiso, Indiana 46383
ORDER NUMBER:
ORDER DATE:
(219) 462 -1707 SALESPERSON House
CUSTOMER N0: 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 T0:
CUSTOMER P.O. SHIP VIA F.O.,P TERMS
OUR D�LjVERY Net 10
ITEM NO. UNIT ORDERED SHIPPED RACE ORD PRICE AMOUNT
TAXABLE .00
NON TAXABLE 3,859.00
NET INVOICE: 3,859.00
SALES TAX: .00
FREIGHT: 00
INVOICE TOTAL: 3,959.00
VOUCHER NO. WARRANT NO.
Hoosier Fire Equipment ALLOWED 20
IN SUM OF
4009 Montdale Park Drive
Valparaiso, IN 46383
$3,859.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 75563 43- 510.00 $3,859.00 I 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
DEC 13 2010
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))
75563 $3,859.00
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