178716 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 131135 Page 1 of 1
ONE CIVIC SQUARE HOOSIER FIRE EQUIPMENT INC CHECK AMOUNT: $5,922.70
CARMEL, INDIANA 46032 4009 MONTDALE PARK DRIVE
VALPARAISO IN 46383 CHECK NUMBER: 178716
CHECK DATE: 10128/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351501 72251 1,622.70 EQUIPMENT MAINT CONTR
102 4467099 12670 72268 4,300.00 EXTRICATIO CUTTER
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INVOICE PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0072268 -IN
4009 Montdale Park Drive INVOICE DATE: 10/08/09
Valparaiso, Indiana 46383
ORDER NUMBER: 0104285
ORDER DATE: 07/21/09
(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
/SORDER EACH 1.00 1.00 0.00 5,800.00 5,800.00
#220200001000, AMKUS MODEL AMK -22 HEAVY DUTY
CUTTER
/LOT LOT 2.00 2.00 0.00 500.00- 1,000.00
LESS TRADE -IN OF AMKUS MODEL #25E SPEEDWAY CUTTER
/LOT LOT 1.00 1.00 0.00 500.00- 500.00
ADDITIONAL DISCOUNT
TAXABLE .00
NON- TAXABLE 4,300.00
NET INVOICE: 4,300.00
SALES TAX: .00
FREIGHT: .00
INVOICE TOTAL: 4,300.00
R.
i
INVOICE PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0072251 -IN
4009 Montdale Park Drive INVOICE DATE: 10/06/09
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 10701 North College Avenue
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 1,622.70 1,622.70
PERFORMED ANNAUL PREVENTATIVE MAINTENANCE ON
CUSTOMER'S AMKUS HYDRAULIS RESCUE EQUIPMENT AS
PER ATTACHED
TAXABLE .00
NON- TAXABLE 1,622.70
NET INVOICE: 1,622.70
SALES TAX: .00
FREIGHT: .00
INVOICE TOTAL: 1,622.70
AMKUS SERVICE MAINTENANCE REPORT
Service Technician Name: R. Herma Equipment Owner: Carmel Fire Department
T. Harmon
AR or Shop Repair Number: Station /Location: 10701 N. College Avenue
Date of Service: September 29. 2009
AMKUS POWER UNIT AMKUS CUTTER and COMBINATION TOOLS
Serial Number: erial Number: 01016997
F -XL General Inspection Mode125 gene'al Inspection
GB2A -STD F Hydraulic Hose(s) E] Model 25S orque Center Bolt
F -Mini Pump Couplings Model 25L ,Inspect Cutter Blades
F -XL Hydraulic Fluid Model 25P Inspect Friction Plates
[7GB2S -XL Fuel Level Model C -15 Clean and Lubricate
GH2S -XL F Motor Oil Level 71 Model 25C
F�HP101 -Hand Pump
F 101 -Air Pump Maintenance Notes: Cleaned Lubed Inspected
Other Replaced side handle grip and dust caps.
Maintenance Notes: Resurfaced blades. Replaced decals
as needed.
AMKUS HYDRAULIC RAMS
AMKUS HYDRAULIC SPREADER F]20 -R Serial No.
Serial Number: 00124309 F,/ 30 -R Serial No. 0502102712A
Model 30CX General Inspection -40 -R Serial No. 96082273 95021851
Model 28 Tool Operation -�60 -R Serial No. 950106280/0 960877
(L( Rack Shield General Inspection Rod
'Arms RiThreads K Rod End
Tips Paean and Lubricate
CK Clean and Lubricate Maintenance Notes:
Maintenance Notes: Cleaned, lubed, inspected.
Cleaned, lubed, inspected.
Repalced manifold screws seals.
REPLACEMENT PARTS: ANNUAL MAINTENANCE FEE: 1,600.00
QTY Item No. Description Price Total Labor
6 qt. Hydraulic Fluid N/C Parts 22..70
1 5000- 0700187 Filter N FC Other
2 840131001 00 Dust Cap 6.20 Subtotal
1 980771200 10 Open /Close Decal N/C Sales Tax
4 60B500060 5 Screw 3.80 Shipping Handling
4 500100010 00 "0" Ring 4.40 TOTALDUEJ 1,622.70
1 990281000 02 Handle Grip 8.30
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))
72251 $1,622.70
72268 $4,300.00
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
VOUCHER NO. WARRANT NO.
Hoosier Fire Equipment ALLOWED 20
IN SUM OF
4009 Montdale Park Drive
Valparaiso, IN 46383
$5,922.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 72251 43- 515.01 $1,622.70 1 hereby certify that the attached invoice(s), or
12670 72268 102 670.99 $4,300.00
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
OCT 2 S 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund