160908 06/25/2008 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: $22,869.00
VALPARAISO IN 46383 CHECK NUMBER: 160908
CHECK DATE: 6/25/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCR IPTION
X 102 4467099 67893 22,869.00 OTHER EQUIPMENT
S
Z
INVOICE PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0067893 -IN
4009 Montdale Park Drive INVOICE DATE: 06/09/08
Valparaiso, Indiana 46383
ORDER NUMBER: 0101373
ORDER DATE: 05/08/08
(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
OUR DELIVERY Net 10
ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT
805773 -71 EACH 4.00 4.00 0.00 164.00 656.00
SCOTT 2007 EDITION SMALL AV -3000 FACEPIECE WITH
KEVLAR HEAD HARNESS AND NOSECUP
805773 -72 EACH 110.00 110.00 0.00 164.00 18,040.00
SCOTT 2007 EDITION MEDIUM AV -3000 FACEPIECE WITH
KEVLAR HEAD HARNESS AND NOSECUP
805773 -73 EACH 12.00 12.00 0.00 164.00 1,968.00
SCOTT 2007 EDITION LARGE AV -3000 FACEPIECE WITH
KEVLAR HEAD HARNESS AND NOSECUP
200715 -01 EACH 126.00 126.00 0.00 17.50 2,205.00
SCOTT EPIC VOICE AMPLIFIER MOUNTING BRACKET
TAXABLE .00
NON TAXABLE 22,869.00
NET INVOICE: 22,869.00
SALES TAX: .00
FREIGHT: .00
INVOICE TOTAL: 22,869.00
Prescribed by State Board of Accounts City For;n No. 201.. 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))
06/09/08 67893 Facepieces $22,869.00
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
VOUCF ER NCY WARRANT NO.
ALLOWED 20
Hoosier Fire Equipment
IN SUM OF
4009 Montdale Park Drive
Valparaiso, IN 46383
$22,869.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
12584 67893 102- 670.99 $22,869.00 1 hereby certify that the attached invoice(s), or
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
c
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund