HomeMy WebLinkAbout203477 11/09/2011 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: $967.00
VALPARAISOIN 46383
CHECK NUMBER: 203477
CHECK DATE: 11/9/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 78680 967.00 AUTO REPAIR MAINTEN
INVOICE PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0078680 -IN
4009 Montdale Park Drive INVOICE DATE: 10/21/11
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 0.00 967.00 967.00
PERFORMED ANNUAL LADDER MAINTENANCE ON CUSTOMER'S
2010 SEAGRAVE TDA, SERIAL #76397, LADDER #41
AS PER ATTACHED
TAXABLE .00
NON TAXABLE 967.00
NET INVOICE: 967.00
SALES TAX: .00
FREIGHT: .00
INVOICE TOTAL: 967.00
HOOSIER FIRE EQUIPMENT, INC. HOOSIER FIRE EQUIPMENT, INC.
QTY. PART NO. AND /OR °DESCRIPTION PRICE 4009 Montdale Park Drive 3863 North Commercial Parkway
1 Return Filter Elem $77.00 Valparaiso, IN 46383 Greenfield, IN 46140
1 Pressure Filter Element $167.00 Phone: 219 462 -1707 Phone: 317 891 -8375
1 Shipping /Freight $11.00 Toll Free: 800 552 -2691 Toll Free: 888- 436 -6075
REPAIR ORDER
NAME: Carmel /Clay Twp. Fire Dept. RECEIVED: 10/10/2011 DATE: 10/14/2011
ADDRESS: Two CIVIC Square PROMISED: CUSTOMER
ORDER
CITY: Carmel, IN 46032 TERMS: MECHANIC: MS
PHONE: Bob Van Voorst Cell 317 664 -0958
MAKE: MODEL: YR. SERIAL NO. UNIT MILEAGE AR
SFA TDA 2010 76397 Ladder 41 8,574 5425
LABOR REPAIR ORDER INSTRUCTIONS LABOR
HOURS CHARGE
Performed Annual Ladder Service including 10, 50, 100 400 hour Seagrave $712.00
recommended ladder maintenance.
Note: The ladder bolts fasteners were not torque checked due to the truck being
inspected by Certification Company previous to our maintenance service.
Certification Company tested all the bolts fasteners.
ADDITIONAL PARTS SEE LIST ON BACK 0
PARTS TOTAL m-+ $255.00
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 I
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: $712.00,
TOTAL PARTS: -$255.00
NOT RESPONSIBLE
FOR LOSS OR -MILES TRAVEL RATE PRICE SUBLET WORK:
DAMAGE TO CARS OR
ARTICLES LEFT IN TRAVEL EXP.
CARS IN CASE OF
FIRE, THEFT OR ANY TAX:
OTHER CAUSE
BEYOND OUR
'SUBLET WORK TOTAL J. CONTROL. TOTAL TRAVEL EXPENSES: TOTAL $967.00
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))
78680 L41 $967.00
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
VOUCHER NO. WARRANT N
ALLOWED 20
Hoosier Fire Equipment
IN SUM OF
4009 Montdale Park Drive
Valparaiso, IN 46383
$967.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1120 I 78680 I 43- 510.00 I $967.00 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
Nov 2011
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund