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162776 08/20/2008 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: $3,244.50 VALPARAISO IN 46383 CHECK NUMBER: 162776 CHECK DATE: 8120/2008 DEPARTMENT ACCOUN PO NUMBER INVO NUMBER AMOUNT DESCRIPTION 1120 T 4351000 68395 561.60 AUTO REPAIR MAINTEN 1120 4237000 68430 974.00 REPAIR PARTS 1120 4351501 68430 1,600.00 EQUIPMENT MAINT CONTR 1120 4350900 68452 108.90 OTHER CONT SERVICES I I INVOICE PAGE: 1 Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0068452 -IN 4009 Montdale Park Drive INVOICE DATE: 08/08/08 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 OUR DELIVERY Net 10 ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT /SERVICE EACH 1.00 1.00 0.00 108.90 108.90 CUSTOMER'S AMKUS 100' RED TWINNED HOSE REPAIRED PER QUOTE DATED 7 -18 -08 TAXABLE .00 NON- TAXABLE 108.90 NET INVOICE: 108.90 SALES TAX: .00 FREIGHT: .00 INVOICE TOTAL: 108.90 INVOICE PAGE: 1 Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0068430 -IN 4009 Montdale Park Drive INVOICE DATE: 08/05/08 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 460327543 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 1,600.00 1,600.00 ANNUAL SERVICE ON CUSTOMER'S AMKUS ULTIMATE SYSTEM AND HYDRAULIC TOOLS /SORDER EACH 1.00 1.00 0.00 70.00 70.00 #8000966583A2 AMKUS 8' BLUE SINGLE LINE REEL CONNECTION HOSE /SORDER EACH 1.00 1.00 0.00 904.00 904.00 #8012006383E1 AMKUS 100' RED TWINNED LINE HOSE ASSEMBLY TAXABLE .00 NONTAXABLE 2,574.00 NET INVOICE: 2,574.00 SALES TAX: .00 FREIGHT: 17.25 INVOICE TOTAL: 2,591.25 SERVICE MAINTENAN REPORT This report provided by: AMk JUS' Equipment Owner: RESCUE srsreMS Carmel Fire Department Hoosier Fire Equipment, Inc. Two Civic Square 4009 Montdale Park Drive 0o Carmel, IN 46032 Valparaiso, IN 46383 a� m r Date of Service: 6 -17 -07 AMKUS POWER UNIT AMKUS CUTTER and COMBINATION TOOLS Serial Number Serial Number: 0020141 GB2A -XL General Inspection Model 25E Generallnspection G62A -STD Hydraulic Hose(s) Model 25S jX Torque Center Bolt GH2A -Mini Pump Couplings Model 25L Inspect Cutter Blades GTZS 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 [I OTHER: Maintenance Notes: Maintenance Notes: Cleaned. lubed, and inspected. Replaced dacals as needed. Resurfaced blades AMKUS HYDRAULIC RAMS AMKUS HYDRAULIC SPREADER 20 -R Serial No. Serial Number. 00124309 30 -R Serial No. 9502102712A 40 -R Serial No. 95021851 Model 30CX General Inspection 60 -R Serial No. 96080778 Model 28 Tool Operation Rack Shield General Inspection Rod Arms Threads Rod End Tips Clean and Lubricate Clean and Lubricate Maintenance Notes: Maintenance Notes: Cleaned, lubed, and inspected. Cleaned, lubed, and inspected. Resurfaced tips. Replaced decals as needed. REPLACEMENT PARTS: ANNUAL MAINTENANCE FEE: QTY. Item No. Description Price TOTAL Labor 6 AW32 Hydraulic Oil Parts 1 5000 -07 -01 7: Filter Other 4 8401310010 (0 Dust Cap Subtotal Sales Tax Shipping Handling TOTAL DUE r SERVICE MAINTENANCE REPORT This report provided by: A I"1 JU.S® Equipment Owner: RESCUE SY Carmel Fire Department Two Civic Square Hoosier Fire Equipment, Inc. ao Carmel, IN 46032 4009 Montdale Park Drive aa! Valparaiso, IN 46383 ff Date of Service: 6- -17 AMKUS POWER UNIT AMKUS CUTTER and COMBINATION TOOLS Serial Numbe Serial Number. 99080580 GB2A -XL General Inspection Model 25 General Inspection GB2A -STD Hydraulic Hose(s) E] Mod el 25S' Torque Center Bolt GH2A -Mini Pump Couplings Model 25L Inspect Cutter Blades 11 GT2S -XL El Hydraulic Fluid O Model 25P Inspect Friction Plates GB2S -XL El Fuel Level Model C -15 Clean and Lubricate GH2S -XL 171 Motor Oil Level odel 25C HP101 -Hand Pump A 101 -Air Pump OTHER: Maintenance Notes: Maintenance Notes: Cleaned. lubed, and inspected. Replaced decals as needed. Resurfaced blades, replaced lower boot retainer ring. AMKUS HYDRAULIC RAMS AMKUS HYDRAULIC SPREADER 20 -R Serial No. Serial Number *60-R 0 -R Serial No. 96082273 0 -R Serial No. Model 30CX General Inspection Serial No. 95010628 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: REPLACEMENT PARTS: ANNUAL MAINTENANCE FEE: QTY. Item No. Description Price TOTAL Labor Parts Other Subtotal Sales Tax Shipping Handling TO UE Two (2) 100' hose reel Flushed, lnspected, and Retied Two (2) 150' Hose reels Flushed, Inspected, and Retied One (1) Amkus Model #AMK -25 Cutter, Serial #10106997 Sent to Amkus for Repair. INVOICE PAGE: 1 Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0068395 -IN 4009 Montdale Park Drive INVOICE DATE: 08/04/08 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 0.00 561.60 561.60 REPAIRS TO CUSTOMER'S 1996 KME PUMPER, SERIAL #2931 AS PER ATTACHED TAXABLE .00 NON TAXABLE 561.60 NET INVOICE: 561.60 SALES TAX: .00 FREIGHT: .00 INVOICE TOTAL: 561.60 HOOSIER FIRE EQUIPMENT, INC. HOOSIER FIRE EQUIPMENT, INC. k I 4009 Montdale Park Drive W 3863 North Commercial Parkway +P IZAI�ED XOR :C�ESCRIPsTiO,N''�r �PRIGE 1 546- 0200 -55 -0 HALE QG /P35 R.V. GASKET $8.60 Valparaiso, IN 46383 Greenfield, IN 46140 "O" RING KIT Phone: 219 462 1707 Phone: 317 891 8375 Toll Free: 800- 552 -2691 Tall Free: 888- 436 -6075 REPAIR ORDER NAME: CARMEL FIRE DEPARTMENT RECEIVED: DATE: 7/23/2008 CUSTOMER ADDRESS: TWO CIVIC SQUARE PROMISED: ORDER# CITY: CARMEL, INDIANA 46032 TERMS: NET 10 MECHANIC: PHONE: MAKE' MODEL: YR. SERIAL NO. UNIT MILEAGE AR KME PUMPER 1996 1 GSO #2931 L ENG46 74919 3886 r`t- rC''n' '!?3�.a�":'kA�r rfiniaF` xtt'^! t15f��Fr 'S�i'`:'"r.et5ln m E l,, LA8 r u1I''REP AIR ORDER rINSTRUCTION$'�G „d �M �t LABOR �.r �o CHQRGE 1 1 jr P`_ REMOVED AND DISASSEMBLED QG RELIEF VALVE. CLEANED AND $623.00 INSTALLED HALE REPAIR KIT, AFTER REPAIR COMPLETED TESTED OPERATION OF RELIEF VALVE AND PILOT LIGHT. PILOT LIGHT WILL BURN STEADY WHEN THE QG (PRESSURE SIDE) VALVE OPENS AND WILL FLASH WHEN THE PG30 (SUCTION SIDES VALVE OPENS. PUMP WILL BUILD PRESSURE. DIAGNOSED IMPROPER WIRING OF TPM SYSTEM. FOUND AND RECONNECTED WIRES AS PER HALE SPECIFICATIONS. PROVIDED HALE QG DRAWING AND INFO TO BOB VAN VOORST. P.C. DISCOUNT APPROVED BY T. SWARTZ 07/30/08 $70.00 ADDITIONAL PARTS SEE LIST ON BACK I�R p 1 110i ",W' UNN� g p SUBLET WORK PRICE TOTAL LABOR 553.00 i hereby authorize the above repair work to be done wlthe ncessary material, and hereby grant you and /or your employees permission to ope-rate 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�$55300�� rr �TOTAL LABOR+ NOT RESPONSIBLE FORLOSSOR MILES TRAVEL RATE PRICE K.r SU6 WORI �s DAMAGE TO CARS A .r+w'ra:k-y p!,�+nw p:tiHar q y ,�s OR ARTICLES LEFT IN CARS M CASE OF FIRE. THEFT OR iron ,du ,a A +la AN OTHER CAUSE Y r r .e: rJ w �Ir I x TAX LL e kYR,c. !.k 5:, BEVOND OUR ,�n xk.s.odii_rrii.. 0 2 y a Sy mil t ;;'st 1: t z t R 0:5- .�!SIJ.BL 1...3. i.,.F. ._.:..'X- a „i1".., i_�..,4 ,'1 x. s_ �s.a -J�.._ 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)) 68395 Repair E46 $561.60 68452 Repair Amkus Hose $108.90 68430 Hose for Amkus $974.00 68430 Amkus PM $1,600.00 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 N ALLOWED 20 Hoosier Fire Equipment IN SUM OF 4009 Montdaie Park Drive Valparaiso, IN 46383 $3,244.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 68395 43 -510.00 $561.60 I hereby certify that the attached invoice(s), or 1120 68452 43- 509.00 $108.90 bill(s) is (are) true and correct and that the 1120 68430 42- 370.00 $974.00 materials or services itemized thereon for 1120 68430 43- 515.01 $1,600.00 which charge is made were ordered and received except AUG 18 2008 t Title Cost distribution ledger classification if claim paid motor vehicle highway fund