HomeMy WebLinkAbout165268 10/29/2008 f CITY OF CARMEL, INDIANA VENDOR: 131135 Page 1 of 1
ONE CIVIC SQUARE HOOSIER FIRE EQUIPMENT INC
6 CHECK AMOUNT: $1,424.30
r. •�o CARMEL, INDIANA 46032 4009 MONTDALE PARK DRIVE
VALPARAISO IN 46383 CHECK NUMBER: 165268
CHECK DATE: 10129/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
1120 4350900 69055 .594.30 OTHER CONT SERVICES
1120 4351501 69056 830.00 EQUIPMENT MAINT CONTR
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i
INVOICE PAGE: 1
6
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0069056 -IN
4009 Montdale Park Drive INVOICE DATE: 10/15/08
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 0.00 830.00 830.00
ANNUAL SERVICE ON CUSTOMER'S AMKUS HYDRAULIC
RESCUE EQUIPMENT AS PER ATTACHED
TAXABLE .00
NON TAXABLE 830.00
NET INVOICE: 830.00
SALES TAX: .00
FREIGHT: .00
INVOICE TOTAL: 830.00
SERVICE MAINTENANCE REPORT
This report provided by: ����US Equipment Owner:
Carmel Fire Department
RESCUE SYSTEMS
Hoosier Fire Equipment, Inc.
Two Civic Square
4009 Montdale Park Drive QO Carmel, IN 46032
Valparaiso, IN 46383 ac tm
Date of Service: Sept. 3, 2008
AMKUS POWER UNIT AMKUS CUTTER and COMBINATION TOOLS
Serial Number 96080123 Serial Number.' 00110217
GB2A -XL General Inspection Model 25 General Inspection
GB2A -STD Hydraulic Hose(s) Model 25S Torque Center Bolt
GH2A -Mini Pump Couplings Model 25L Inspect Cutter Blades
GT2S -XL l Hydraulic Fluid Model 25P Inspect Friction Plates
GB2S -XL Fuel Level Model C -15 Clean and Lubricate
GH2S -XL A Motor Oil Level Model 25C
HP101 -Hand Pump Model 25E
A 101 -Air Pump
[I OTHER: Maintenance Notes:
Maintenance Notes: Cleaned, lubricated, and inspected.
Cleaned, Inspected, and lubricated. Replaced decals as needed.
Replaced hydraulic fluid and motor Resurfaced blades
oil
AMKUS HYDRAULIC RAMS
AMKUS HYDRAULIC SPREADER 20 -R Serial No.
Sena! Number: 96083254 30 -R Serial No.
40 -R Serial No.
Model 30CX General Inspection 60 -R Serial No. 14
oriel 28 Tool Operation
Rack Shield General Inspection Rod
Arms Threads Rod End
Tips Clean and Lubricate 1
Clean and Lubricate
Maintenance Notes Maintenance Notes:
Cleaned, lubricated, inspected. Cleaned, lubricated; inspected.
Replaced decals as needed. Replaced decals as needed
Minor cracks'in tool connection hos
REPLACEMENT PARTS: ANNUAL MAINTENANCE FEE:
QTY. Item No. Description Price TOTAL Labor
2 99000000 000 MV -1 Fluid Parts
1 P40987 Gasket Other
1" P421391 Gasket Subtotal
1 98090880 240 Decal Kit Sales Tax
1 98077112 0010 Decal Shipping Handling
3 98077130 030 Danger Decal TOTAL DUE
'SERVICE MAINTENANCE REPORT
This reportprovided by: AlMk4US® Equipment Owner:
RESCUE SYSTEMS Carmel Fire Department
Two Civic Square
Hoosier Fire Equipment, Inc.
4009 Montdale Park Drive 00 Carmel, IN 46032
Valparaiso, IN 46383 m
Date of Service: Sept. 3, 2008
AMKUS POWER UNIT AMKUS CUTTER and COMBINATION TOOLS
Serial Number Serial Number.' 01010662
GB2A -XL General Inspection Model 25 General Inspection
G62A -STD Hydraulic Hose(s) Model 25S Torque Center Bolt
GH2A -Mini Pump Couplings Model 25L Inspect Cutter Blades
GT2S -XL Hydraulic Fluid Model 25P Inspect Friction Plates
GB2S -XL Fuel Level Model C -15 Clean and Lubricate
GH2S -XL Motor Oil Level Model 25C
HP101 -Hand Pump
A 101 -Air Pump
El OTHER: Maintenance Notes:
Maintenance Notes: Cleaned, lubricated, inspected.
Replaced decals as needed.
AMKUS HYDRAULIC RAMS
AMKUS HYDRAULIC SPREADER 20 -R Serial No.
Serial Number. 30 -R Serial No.
40 -R Serial No. 95011843—R
Model 30CX General Inspection 60 -R Serial No. 99091146
Model 28 Tool Operation
Rack Shield General Inspection) Rod
Arms Threads Rod End
0 Tips Clean and Lubricate
Clean and Lubricate
Maintenance Notes: Maintenance Notes:
Cleaned, lubricated, inspected
Replaced decals as needed.
REPLACEMENT PARTS: ANNUAL MAINTENANCE FEE:
QTY. Item No. Description Price TOTAL Labor
Parts
Other
Subtotal
Sales Tax
Shipping Handling
TOTAL DUE
INVOICE PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0069055 -IN
4009 Montdale Park Drive INVOICE DATE: 10/15/08
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 0.00 594.30 594.30
REPAIRS TO CUSTOMER'S AMKUS HOSE REELS AS PER
ATTACHED
TAXABLE .00
NON- TAXABLE 594.30
NET INVOICE: 594.30
SALES TAX: .00
FREIGHT: .00
INVOICE TOTAL: 594.30
HOOSIER FIRE EQUIPMENT, INC. HOOSIER FIRE EQUIPMENT, INC.
T,Yf`;'!x,sl?ART`NO AND %ORd'DESC,RIPTIO;N��PRICE�:.I 4009 Montdale Park Drive 3863 North Commercial Parkway
5 GALLON JAW32 HYDRAULIC FLUID $44.00 Valparaiso, IN 46383 Greenfield, IN 46140
2 50201 JAMKUS SWIVEL REPAIR KIT $18.50 Phone: 219 -462 -1707 Phone: 317 -891 -8375
2 9925 -8111 AMKUS 114" MXF STEEL SUPER SWIVEL $120.00 Toll Free: 800 -552 -2691 Tall Free: 888 436 -6075
1 4- PNTX -S JIC PLUG $1.80 REPAIR ORDER
NAME, CARMEL FIRE DEPARTMENT RECEIVED: DATE: 9/3/2008
CUSTOMER
ADDRESS: TWO CIVIC SQUARE PROMISED: ORDER#
CITY: CARMEL, INDIANA 46032 TERMS: NET 10 MECHANIC:
PHONE:
MAKE: MODEL: YR. SERIAL NO. UNIT MILEAGE AR#
KME RESCUE 1999 AMKUS' SERVICE 45 1 3850
r rt' fI a.' Td �I1 u 1 mow: E Iia g II.I i`j
LABOR'SIi l hj 3 .s �f.�lu�, h l I d;„ V ,`�l� P 3Iu F I W r ll �f r"LABOR
mHOURS i� REPAIRORDER INTRUTION` "'�1y' i Y GHARGE
tft
REMOVED AND INSTALLED (2) NEW HANNAY SUPER SWIVELS ON $460.00
BLUE REEL REMOVED AND REBUILT (2) SWIVELS ON RED REEL.
PC DISCOUNT ($50.00
ADDITIONAL PARTS SEE LIST ON BACK
t 3 q 'h p y j. of
3'.y'._ PARTSTOTAL,.1<3 zb
SUBLET WORK PRICE
I hereby authorize the above repair work to be done wlthe ncessary material, and hereby grant you and /or your employees
permission to operate the car or truck herein described on streets, highways or elsewhere for the purpose of testing
and/or Inspection. An express mehanic's lien is hereby acknowledged on above car or truck to secure the amt. of repairs thereto.
X 1 ,4 t" W 0TAtIXBOR i "V 1 4F10':00
�TOTALxPARTS`
"$i` 1'84'!30';
NOT RESPONSIBLE ai n d�4 P f
FOR LOSS OR MILES TRAVEL RATE PRICE��,'
DAMAGE TO CARS
9�j
OR ARTICLES LEFT i r� 9 1� TRAUEL� EXP
IN CARS IN CASE OF
FIRE. THEFT OR �Tl a
7 u., «=.:Cmc�e +5 :.n. fir, Yu'� P fi'iL: aT I •;f �'..!t 'l' tY �t�•. 4jx �'r 1Y at5 `n.
w =TAX
ANY OTHER CAUSE
6. I. BEYOND OUR ..0 x?rly e, .3G.a r .,.tN#k`zt ..6
w ,�µ�t i b,„ �SY �`:F IrL,114
SUBLEGI WORK TOTAL m J TOTiAL TRAVEL =EXPENSES I p 9 TOTAL x$,1594:30
11,�s: CCNTROL. Chu,. _�ti Fk1�_a
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))
69056 Amkus PM $830.00
69055 Repair Amkus $594.30
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
$1,424.30
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# l Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 69056 43- 515.01 $830.00 I hereby certify that the attached invoice(s), or
1120 69055 43- 509.00 $594.30 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
O C T 2 7 2008
/tea
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund