HomeMy WebLinkAbout203885 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 131135 Page 1 of 1
ONE CIVIC SQUARE HOOSIER FIRE EQUIPMENT INC
0 CHECK AMOUNT: $275.75
CARMEL, INDIANA 46032 4009 MONTDALE PARK DRIVE
VALPARAISOIN 46383 CHECK NUMBER: 203885
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 78836 275.75 REPAIR PARTS
INVOICE PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0078836 -IN
4009 Montdale Park Drive INVOICE DATE: 11/08/11
Valparaiso, Indiana 46383
ORDER NUMBER: 0109226
ORDER DATE: 10/27/11
(219) 462 -1707 SALESPERSON House
CUSTOMER NO: CARMOI
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
/SORDER EACH 1.00 1.00 0.00 265.00 265.00
#35780011, AKRON MOTOR AND GEAR CONNECTOR KIT,
S /Al2V PNT REPAIR
/SORDER EACH 1.00 1.00 0.00 1.50 1.50
#757312, AKRON "0" RING 2 -036 BUNA N
/SORDER EACH 1.00 1.00 0.00 1.00 1.00
#757056, AKRON "0" RING 1 -5/8" X 1 -1/2" 2 -029 BUNA
N70
TAXABLE .00
NON- TAXABLE 267.50
NET INVOICE: 267.50
SALES TAX: .00
FREIGHT: 8.25
INVOICE TOTAL: 275.75
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))
78836 $275.75
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 NO.
ALLOWED 20
Hoosier Fire Equipment
IN SUM OF
4009 Montdale Park Drive
Valparaiso, IN 46383
$275.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT
Board Members
1120 I 78836 I 42- 370.00 I $275.75 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 21 2019
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund