HomeMy WebLinkAbout199520 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 131135 Page 1 of 1
s`� `i. ONE CIVIC SQUARE HOOSIER FIRE EQUIPMENT INC
o CARMEL, INDIANA 46032 4009 MONTDALE PARK DRIVE CHECK AMOUNT: $707.55
VALPARAISO IN 46383 CHECK NUMBER: 199520
CHECK DATE: 7120/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 77806 707.55 AUTO REPAIR MAINTEN
INVOICE PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0077806 -IN
4009 Montdale Park Drive INVOICE DATE: 07/11/11
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 0.00 707.55 707.55
REPAIRS ON CUSTOMER'S 1996 KME PUMPER, SERIAL
#2670, ENGINE #44 AS PER ATTACHED
TAXABLE .00
NON TAXABLE 707.55
NET INVOICE: 707.55
SALES TAX: .00
FREIGHT: .00
INVOICE TOTAL: 707.55
HOOSIER FIRE EQUIPMENT, INC. HOOSIER FIRE EQUIPMENT, INC.
QTY. PART NO.-AND/OR DESCRIPTION PRICE 4009 Montdale Park Drive 3863 North Commercial Parkway
2 10MW -W272 gasket 3.25 Valparaiso, IN 46383 Greenfield, IN 46140
1 2433D -3 flange, 3" NPT 123.60 Phone: 219- 462 -1707 Phone: 317 -891 -8375
1 3" x 3" gals. Nipple 117.70 Toll Free: 800- 552 -2691 Toll Free: 888 -436 -6075
1 2" NPT male x 2" JIC male, 45 degree 89.00 REPAIR ORDER
NAME: Carmel FD RECEIVED: 7/6/2011 DATE: 7/6/2011
CUSTOMER
ADDRESS: 2 Carmel CIVIC Square PROMISED: ORDER
CITY: Carmel, IN 46032 TERMS: MECHANIC: TH
PHONE: Bob Van Voorst, Maint. Chief 317 -664 -0958 cell
MAKE: MODEL: YR. SERIAL NO. UNIT MILEAGE AR
KME Pumper 1996 r #2670 Engine 44 90,179 5348
LABOR t
REPAIR ORDER INSTRUCTIONS LABOR
...HOURS_'. CHARGE
Customer advises flange leaking in pump area, also request we adjust packing 474.00
Found flange assembly leaking at junction of flange and pipe nipple.
Removed installed new flange and pipe nipple.
Installed new JIC adapter on tank fill line.
Ran pump to check for leaks. Adjusted packing. Packing is hard and
should be replaced. Adjusting nut also needs replaced.
ADDITIONAL PARTS SEE LIST ON BACK —E� Pump QG150 -21 Serial 67971
PARTS TOTAL 233:55:
SUBLET WORK PRICE TOTAL LABOR 474.00
1 hereby authorize the above repair work to be done wlthe 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
andlorinspection
X TOTAL LA60R: 474.00
TOTAL PARTS: 233.55
NOT RESPONSIBLE FOR MILES TRAVEL RATE PRICE SUBLET WORK:
LOSS OR DAMAGE TO
CARSORARTkCLES TRAVEL EXP,
LEFT IN CARS IN CASE
OF FIRE, THEFT OR TAX:
ANY OTHER CAUSE
C BEYOND OUR
SUBLET WORK TOTAL CONTROL. TOTAL TRAVEL EXPENSES: TOTAL 707.55
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))
77806 E44 $707.55
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
VOUCHER NO. WAR N
Hoosier Fire Equipment ALLOWED 20
IN SUM OF
4009 Montdale Park Drive
Valparaiso, IN 46383
$707.55
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 I 77806 I 43- 510.00 I $707.55 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
JUL 18 2011
A 1
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund