HomeMy WebLinkAbout199053 07/06/2011 a CITY OF CARMEL, INDIANA VENDOR: 131135 Page 1 of 1
ONE CIVIC SQUARE HOOSIER FIRE EQUIPMENT INC CHECK AMOUNT: $272.00
CARMEL, INDIANA 46032 4009 MONTDALE PARK DRIVE
4« VALPARAISOIN 46383 CHECK NUMBER: 199053
CHECK DATE: 7/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 77548 272.00 AUTO REPAIR MAINTEN
INVOICE PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0077548 -IN
4009 Montdale Park Drive INVOICE DATE: 06/06/11
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 0.00 272.00 272.00
REPAIRS TO CUSTOMER'S 2002 KME PUMPER, SERIAL
#5016, ENGINE #41 AS PER ATTACHED
TAXABLE .00
NON- TAXABLE 272.00
NET INVOICE: 272.00
SALES TAX: .00
FREIGHT: .00
INVOICE TOTAL: 272.00
HOOSIER FIRE EQUIPMENT, INC. HOOSIER FIRE EQUIPMENT, INC.
QTY. PART NO. AND /OR DESCRIPTION PRICE 4009 Montdale Park Drive 3863 North Commercial Parkway
1 4.5" hump hose $30.50 Valparaiso, IN 46383 Greenfield, IN 46140
2 #72 hose clamps $10.00 Phone: 219- 462 -1707 Phone: 317 891 -8375
1 Shipping /Freight $9 -00 Toll Free: 800 -552 -2691 Toll Free: 888 -436 -6075
REPAIR ORDER
NAME: Carmel /Clay Twp. Fire Dept. RECEIVED: 6/1/2011 DATE: 6/1/2011
CUSTOMER
ADDRESS: 2 Carmel CIVIC Square PROMISED: ORDER#
CITY: Carmel, IN 46032 TERMS: MECHANIC: MS
PHONE: Bob Van Voorst Cell 317 664 -0958
MAKE: MODEL: YR. SERIAL NO. UNIT MILEAGE AR#
KME Renegade 2002 5016 Engine 41 67,965 5281
LABOR
REPAIR ORDER INSTRUCTIONS LABOR
HOURS' CHARGE
Remove and replace tank to pump flexible hose. inspeced for other leaks 222.50
none found. Existing hump hose was dry rotted. Seal to booster tank was
disturbed and causing the leak.
ADDITIONAL PARTS SEE LIST ON BACK
:PARTS. .TOTAL $44.50',
SUBLET WORK PRICE
I hereby authorize the above repair work to be done w /the necessary 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 mechanic's lien is hereby acknowledged on above car or truck to secure the amt. of repairs thereto.
X TOTAL LABOR: $222.50
TOTAL PARTS: $49.50
MILES TRAVEL RATE PRICE SUBLET WORK:
NOT RESPONSIBLE FOR
LOSS OR DAMAGE TO TRAVEL EXP,
CARS OR ARTICLES
LEFT IN CARS IN CASE TAX:
b OF FIRE, THEFT OR ANY
SUBLET WORK TOTAL OTHERCausEBEYOND
OUR CONTROL. TOTAL TRAVEL EXPENSES; TOTAL $272.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hoosier Fire Equipment
IN SUM OF
4009 Montdale Park Drive
Valparaiso, IN 46383
$272.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #!TITLE AMOUNT
Board Members
1120 I 77548 I 43- 510.00 I $272.00 I 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
77548 E41 $272.00
1 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