HomeMy WebLinkAbout195072 03/02/2011 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: $2,076.05
VALPARAISO IN 46383
a CHECK NUMBER: 195072
CHECK DATE: 3/2/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351501 0076556 2,076.05 EQUIPMENT MAINT CONTR
INVOICE PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0076556 -IN
4009 Montdale Park Drive INVOICE DATE: 02/15/11
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 2,076.05 2,076.05
PERFORMED ANNUAL PREVENTATIVE MAINTENANCE ON
CUSTOMER'S AMKUS HYDRAULIC RESCUE EQUIPMENT AS
PER ATTACHED
TAXABLE .00
NON- TAXABLE 2,076.05
NET INVOICE: 2,076.05
SALES TAX: .00
FREIGHT: .00
INVOICE TOTAL: 2,076.05
HOOSIER FIRE EQUIPMENT, INC. HOOSIER FIRE EQUIPMENT, INC.
QTY. 'PART NO: AND /OR' DESCRIPTION T PRICE. 4009 Montdale Park Drive 3863 North Commercial Parkway
8 ;MV -1 Hydraulic Fluid NIC Valparaiso, IN 46383 Greenfield, IN 46140
2 '1OW30 Motot Oil NIC Phone: 219 462 -1707 Phone: 317 -891 -8375
2 P350308 -valve Gasket NIC Toll Free: 800 -552 -2691 Toll Free: 888 436 -6075
2 P421391 Reservoir Gasket N/C REPAIR ORDER
2 .980908803700 Ram Decal Kit NIC NAME: Carmel Fire Department RECEIVED: DATE: 2/10/2011
5 8000186483A3 cusroMER
Tool Connection Hose
190.00 ADDRESS: TWO Civic Square PROMISED: ORDER
2 :P40987 Adapter Gasket N/C CITY: Carmel, IN 46032 TERMS: NET 10 MECHANIC: RH
1 8301219300OF Female Quick Coupler 40.00 PHONE:
2 P10282 "O" Ring N/C MAKE: MODEL: YR. SERIAL NO. UNIT MILEAGE AR#
2 :P10281 "0" Ring NIC
1 ;9809008804910 Cutter Decal Kit N/C LABOR. f ti. LABOR
1 P251206 Drive Coupler 55.00 REPAIR ORDER INSTRUCTIONS
HOURS CHARGE
1 P250232 Shaft Adapter 129.00 Performed Annual Preventative Maintenance on Customer's Amkus $1,605.00
1 :990281000001 Control Valve Grip 10.00 Hydraulic Rescue Equipment:
1 99028100002 Side Handle Grip 8.05 (2) GH2A -MCH Mini Pumps, Serial #10030183; #10030184
13 840131001000 Dust Cap 39.00 (2) GH2S -XLA Simo Pump, Serial #96080123, #96080126
(1) #30CX Spreader, Serial #96083254
(3)-#C-15 Combi Tools, Serial #10021352; #01010662; #99080580
(1) #22 Cutter, Serial #0909186
(1) #25S Cutter, Serial #96080302/UD
(1) #30R Ram, Serial #96081307
(2) #40R Ram, Serial #96082265, #95011843/R
(2) #60R Ram, Serial #99091143; #99091146
(4) 10" Ram Extensions
(3) Sets 20' Extension Hoses
(3) Sets 30' Extension Hoses
ADDITIONAL PARTS SEE LIST ON BACK
PARTS TOTAL 471.05
SUBLET WORK PRICE
I hereby authorize the above repair work to be done w/the ncessary 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 mehanic's lien is hereby acknowledged on above car or truck to secure the amt. of repairs thereto.
X TOTAL LABOR: $1,605.00
TOTAL PARTS: 471.05
NOT RESPONSIBLE
FOR LOSS OR MILES TRAVEL RATE PRICE SUBLET• WORK:
DAMAGE TO CARS
ORARTICLESLEFT TRAVEL EXP.
IN CARS IN CASE OF
FIRE, THEFT OR
ANY OTHER CAUSE TAX.
BEYOND OUR 2,076.05
SUBLET WORK TOTAL ,.a CONTROL. TOTAL TRAVEL EXPENSES: TOTAL
VOUCHE N O. WARRANT NO.
ALLOWED 20
Hoosier Fire Equipment
IN SUM OF
4009 Montclale Park Drive
Valparaiso, IN 46383
$2,076.05
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I 0076556 I 43- 515.01 I $2,076.05 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
PEP 2 8 mi
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))
0076556 $2,076.05
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