HomeMy WebLinkAbout198132 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 131135 Page 1 of 1
ONE CIVIC SQUARE HOOSIER FIRE EQUIPMENT INC CHECK AMOUNT: $723.00
�o CARMEL, INDIANA 46032 4009 MONTDALE PARK DRIVE
VALPARAISO IN 46383
CHECK NUMBER: 198132
CHECK DATE: 6/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 77410 -IN 250.00 OTHER CONT SERVICES
1120 4351000 77462 473.00 AUTO REPAIR MAINTEN
INVOICE PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0077410 -IN
4009 Montdale Park Drive INVOICE DATE: 05/23/11
Valparaiso, Indiana 46383
ORDER NUMBER:
ORDER DATE:
(219) 462 -1707 SALESPERSON House
CUSTOMER NO: CARMOI
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 0.00 250.00 250.00
CUSTOMER'S MODEL #HQP HOOSIER PORABLE DYNA -LITE
WITH FRC 750 WATT LIGHT HEAD REFURBISHED AND
TESTED
TAXABLE .00
NON- TAXABLE 250.00
NET INVOICE: 250.00
SALES TAX: .00
FREIGHT: .00
INVOICE TOTAL: 250.00
INVOICE PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0077462 -IN
4009 Montdale Park Drive INVOICE DATE: 05/26/11
Valparaiso, Indiana 46383
ORDER NUMBER:
ORDER DATE:
(219) 462 -1707 SALESPERSON House
CUSTOMER NO: CARMOI
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 0.00 473.00 473.00
REPAIRS ON CUSTOMER'S 2002 KME PUMPER, SERIAL
#5016 AS PER ATTACHED
TAXABLE .00
NON- TAXABLE 473.00
NET INVOICE: 473.00
SALES TAX: .00
FREIGHT: .00
INVOICE TOTAL: 473.00
r
HOOSIER FIRE EQUIPMENT, INC. HOOSIER FIRE EQUIPMENT, INC.
QTY. PART NO, AND /OR DESCRIPTION PRICE 4009 Montdale Park Drive 3863 North Commercial Parkway
1 hex head cap screw $2.00 Valparaiso, IN 46383 Greenfield, IN 46140
1 washer $1.00 Phone: 219-462-1707 Phone: 317-891-8375
1 R -1 stop plate $10.00 Tall Free: 800 -552 -2691 Toll Free: 888- 436 -6075
1 trunion retaining plate $45.00 REPAIR ORDER
1 handle trunion $14.00 NAME: Carmel /Clay Twp. Fire Dept. RECEIVED: 3/31/2011 DATE: 5/4/2011
CUSTOMER
1 tork -lok spring $16.00 ADDRESS: 2 Carmel Civic Square PROMISED: ORDER#
1 ball trunion $3.00 JuTy. Carmel, IN 46032 TERMS: MECHANIC: TH
1 retaining ring $1.00 PHONE Bob Van Voorst Cell 317- 664 -0958
1 Ithreaded trunion $6.00 MAKE: MODEL: YR. SERIAL NO. UNIT MILEAGE AR#
1 3" valve repair kit $176.00 KME Renegade F 2002 5016 Engine 41 67,266 5217
1 freight/shipping $15.00 LABOR LABOR
HOURS REPAIR ORDER INSTRUCTIONS CHARGE
Customer advised water leaking from valve control stem.
Removed and rebuilt tank to pump valve including new operating mechanism.
ADDITIONAL PARTS SEE LIST ON BACK
PARTS TOTAL $289;00
SUBLET WORK PRICE
I hereby authorize the above repair work to be done wlthe 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 TOTAL LABOR: $184.00
TOTAL PARTS: $289.00
NOT RESPONSIBLE
FOR LOSS OR MILES TRAVEL RATE PRICE SUBLET WORK:
DAMAGE TO CARS. OR ARTICLES LEFT TRAVEL EXP.
IN CARS IN CASE OF
FIRE, THEFT OR TAX:
ANY OTHER CAUSE
BEYOND SUBLET WORK TOTAL j; CONTROL OUR
oL. TOTAL TRAVEL EXPENSES; TOTAL
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))
77462 E41 $473.00
77410 -IN $250.00
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hoosier Fire Equipment
IN SUM OF$
4009 Montdale Park Drive
Valparaiso, IN 46383
$723.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 77462 43- 510.00 $473.00 1 hereby certify that the attached invoice(s), or
1120 77410 -IN 43- 509.00 $250.00 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
t
Fire Chi
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund