161867 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 131135 Page 1 of 1
ONE CIVIC SQUARE HOOSIER FIRE EQUIPMENT INC
0 CARMEL, INDIANA 46032 CHECK AMOUNT: $2,548.90
4p09 MONTDALE PARK DRIVE
o .�o? VALPARAISO IN 46383 CHECK NUMBER: 161867
CHECK DATE: 7/23/2408
OEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 68226 -IN 755.40 OTHER CONT SERVICES
1120 4350900 68233 -IN 1,091.10 OTHER CONT SERVICES
1120 4356003 68239 -IN 662.40 SAFETY ACCESSORIES
INVOICE PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0068239 -IN
4009 Montdale Park. Drive INVOICE DATE: 07/16/08
Valparaiso, Indiana 46383
ORDER NUMBER: 0101690
ORDER DATE: 06/27/08
(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
UNITED PARCEL Net 10
ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT
804178 -01 EACH 18.00 18.00 0.00 18.10 325.80
SCOTT KEVLAR TEMPLE STRAP FOR FACEPIECE
804176 -01 EACH 18.00 18.00 0.00 18.70 336.60
SCOTT KEVLAR NECK STRAP FOR FACEPIECE
TAXABLE .00
NON TAXABLE 662.40
NET INVOICE: 662.40
SALES TAX: .00
FREIGHT: .00
INVOICE TOTAL: 662.40
INVOICE PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0068233 -IN
4009 Montdale Park Drive INVOICE DATE: 07/15/08
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.: rC�� +;ai :•.ci
CUSTOMER P.O. SHIP VIA F.O.B TERMS
UNITED PARCEL Net 10
ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT
/SERVICE EACH 1.00 1.00 0.00 1,091.10 1,091.10
CUSTOMER'S AMKUS 25 CUTTER SERIAL 01016997
REPAIRED SA PER ESTIMATE DATED 6/24/08
TAXABLE .00
NON- TAXABLE 1,091.10
NET INVOICE: 1,091.10
SALES TAX: .00
FREIGHT: .00
INVOICE TOTAL: 1,091.10
INVOICE PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0058226 -IN
4009 Montdale Park Drive INVOICE DATE: 07/15/08
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 0.00 208.55 208.55
CUSTOMER'S SCOTT AIR PAK FIFTY 4.5 SERIAL #46278
LESS TANK- LESS FACE PIECE- LESS REGULATOR
REPAIRED AS PER ATTACHED
/SERVICE EACH 1.00 1.00 0.00 180.45 180.45
CUSTOMER'S SCOTT AIR PAK FIFTY 4.5 SERIAL
46024- LESS TANK LESS REGULATOR LESS FACE
PIECE- REPAIRED AS PER ATTACHED
/SERVICE EACH 1.00 1.00 0.00 185.10 185.10
CUSTOMER'S SCOTT AIR PAK FIFTY 4.5 SERIAL
45660 LESS TANK LESS REGULATOR LESS FACE
PIECE REPAIRED AS PER ATTACHED
/SERVICE EACH 1.00 1.00 0.00 181.30 181.30
CUSTOMER'S SCOTT AIR PAK FIFTY 4.5 SERIAL 46351
LESS TANK LESS FACE PIECE LESS REGULATOR
REPAIRED AS PER ATTACHED
CONTINUED
INVOICE PAGE: 2
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0068226 -IN
4009 Montdale Park Drive INVOICE DATE: 07/15/08
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
i
TAXABLE .00
NON- TAXABLE 755.40
NET INVOICE: 755.40
SALES TAX: .00
FREIGHT: .00
INVOICE TOTAL: 755.40
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))
68239 -IN Straps for Facepieces $662.40
07/15/08 0068233 -IN Repair Amkus $1,091.10
07/15/08 0068226 -IN Test SCBA $755.40
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 Montdale Park Drive
Valparaiso, IN 46383
$2,508.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 68239 -IN 43- 560.03 $662.40 1 hereby certify that the attached invoice(s), or
1120 0068233 -IN 43- 509.00 $1,091.10 bill(s) is (are) true and correct and that the
1120 0068226 -IN 1 43- 509.00 $755.40
materials or services itemized thereon for
which charge is made were ordered and
received except
.�1��•� l Cf
a
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund