HomeMy WebLinkAbout165802 11/12/2008 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: $1.,223.95
VALPARAISO IN 46383 CHECK NUMBER: 1658D2
CHECK DATE: 11112/2008
F
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 69171 498.45 OTHER CONT SERVICES
1120 4351000 69185 725.50 AUTO REPAIR MAINTEN
4
INVOICE PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0069171 -IN
4009 Montdale Park Drive INVOICE DATE: 10/27/08
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 0.00 144.50 144.50
CUSOTMER'S SCOTT E -Z FLO REGULTOR ASSEMBLY, SERIAL
#NJ0013155EZVQ REPAIRED AND FLOW TESTED
/SERVICE EACH 1.00 1.00 0.00 353.95 353.95
CUSOTMER'S SCOTT AIR PAK 4.5 SERIAL #00110049
REPLACED PAK ALERT AND FLOW TESTED
TAXABLE .00
NON- TAXABLE 498.45
NET INVOICE: 498.45
SALES TAX: .00
FREIGHT: .00
INVOICE TOTAL: 498.45
INVOICE PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0069185 -IN
4009 Montdale Park Drive INVOICE DATE: 10/29/08
Valparaiso, Indiana 46383
ORDER NUMBER:
ORDER DATE:
(219) 462 -1707 SALESPERSON R. W. Pressel
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
Net 10
ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT
/SERVICE EACH 1.00 1.00 0.00 725.50 725.50
CUSTOMER'S 1999 KME RESCUE SERIAL #3818 REPAIRED
AS PER ATTACHED
TAXABLE .00
NON- TAXABLE 725.50
NET INVOICE: 725.50
SALES TAX: .00
FREIGHT: .00
INVOICE TOTAL: 725.50
P,O /OR'DESC RIF?Ti]QN,:I,�k, I,EPRIG,E HOOSIER FIRE EQUIPMENT INC. HOOSIER FIRE EQUIPMENT INC.
(QTYI
%1RTN
a, 4ND °n 4009 Montdale Park Drive
3863 North Commercial Parkway
1 990281000001 AMKUS VALVE GRIP 9.50 Valparaiso, IN 46383 Greenfield, IN 46140
Phone: 219- 462 -1707 Phone: 317- 891 -8375
Toll Free: 800 552 -2691 Toll Free: 888 436 -6075
REPAIR ORDER
NAME: CARMEL FIRE DEPARTMENT RECEIVED: DATE 10/1512008
ADDRESS: Z CIVIC SQUARE PROMISED; CUSTOMER ORDER#
CITY: CARMEL, IN 46032 TERMS: NET 10 MECHANIC: RH
PHONE:
MAKE: MODEL: YR- SERIAL N0, UNIT MILEAGE AR
KME RI SCUE 1999 p ]7 q p 3818 RESCUE 45 1 51286.7 3955
.�jT a FdN J'*
LABOR I fir "REP41R ORDER 1NS7f?UCTIONS ^"�4 �jyLABOR$
FlOURS t r i mr n �k s CHARGE
AYsms.tl yib li�� �r�- «?t� ?v�
RE— INSTALLED CUSTOMER'S AMKUS "BLUE LINE" INTENSIFIER $781.00
BLED SYSTEM, VERIFIED PRESSURE 10,500
TIMED SPREADER CLOASED TO OPEN 8.0 SECONDS
VERIFIED NO LEAKS.
VERIFIED OPERATION OF (3) COOLING FANS
REPLACED CONTROL VALVE GRIP ON MODEL 25 CUTTER
SERIAL# 01016997
ADDITIONAL PARTS SEE LIST ON BACK
TOI,ALa�� ,9,50
PC DISCOUNT (65.00)
SUBLET WORK PRICE
I hereby authorize the above repair work to be done wRhe 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 II au -a u
�puu Yi TOTAL LABOR X 716, 00
p q a
NOT t 1,' -a> -TOTAL PAR TS $,1
RESPONSIBLE i� y
FOR LOSS OR MILES TRAVEL RATE PRICE
oAna ACETOCARS SUBLET WORK
OR ARTICLES LEF T 1 ,EL EXP t
IN CARS IN CASE
OF FIRE, THEFT fy' i�
OR AMY OTHER r
j, I f" t
re� :elrr 'i„ 4 ..at.r 9
7, sm `i ,y ab ':�r,�: ;ti.r 'yat. .a... .k w a4x?,L e .i' d M.a.,.. ,I �f ...Y :W °9� a" "r9' 'r9'. :I'..F,h,
CAUSE BEYOND N w w,.
r.� ,�.t� ..r �f a, a t y Jr{
�I_,. t SUBLETS WORK.TOT:AL.M t.
..e 2 s A, ...aka.., J$.x,,.G,. ouRCCNTROL. �TOTAL,TRAVEL�EXPENSES. $N I TOTAL t,, 725:,5,0
m��,_ r Pnax �u1,
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 invoices) or bill(s))
69185 Repair R45 $725.50
69171 Repair Air Pack $498.45
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. WA RRAN T NO.
ALLOWED 20
Hoosier Fire Equipment
IN SUM OF
4009 Montdale Park Drive
Valparaiso, IN 46383
$1,223.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 69185 43- 510.00 $725 -50 1 hereby certify that the attached invoice(s), or
1120 69171 43- 509.00 $498.45 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
f Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund