HomeMy WebLinkAbout174359 07/08/2009 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: $1,180.22
VALPARAISO IN 46383 CHECK NUMBER: 174359
CHECK DATE: 7/8/2009
DEPARTM A PO NUMBER INVO NUMBER AMOUNT DESCRIPTION
1120 4351000 71438 -IN 1,180.22 AUTO REPAIR MAINTEN
INVOICE PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0071438 -IN
4009 Montdale Park Drive INVOICE DATE: 06/25/09
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 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 1,180.22 1,180.22
REPAIRS TO CUSTOMER'S 1996 KME PUMPER, SERIAL
#2931 AS PER ATTACHED
a
TAXABLE .00
NON- TAXABLE 1,180.22
NET INVOICE: 1,180.22
SALES TAX: .00
FREIGHT: .00
INVOICE TOTAL: 1,180.22
HOOSIER FIRE EQUIPMENT, INC. HOOSIER FIRE EQUIPMENT, INC.
QTY. PART NO. AND /OR DESCRIPTION PRICE 4009 Montdale Park Drive 3863 North Commercial Parkway
1 #538 1400 -00 -0 HALE QG RV W /MAGNET $477.27 Valparaiso, IN 46383 Greenfield, IN 46140
2 #040 2420 -00 -0 HALE SEAL RING $6.06 Phone: 219 462 -1707 Phone: 317 891 -8375
1 #040 2130 -03 -0 HALE SEAL RING $3.03 Toll Free: 800 552 -2691 Toll Free: 888- 436 -6075
21#040-2390-00-0 HALE SEAL RING $6.06 REPAIR ORDER
1 #040 1139 -03 -0 HALE SEAL RING $3.03 NAME: CARMEL FIRE DEPARTMENT RECEIVED: DATE: 6/9/2009
CUSTOMER
1 #200 2261 -50 -0 HALE QG SWITCH KIT $121.10 ADDRESS: TWO CIVIC SQUARE PROMISED: ORDER#
2 #010 0080 -01 -0 HALE RV STRAINER $60.74 CITY: CARMEL, INDIANA 46032 TERMS: NET 10 MECHANIC:
1 #046- 0130 -00 -0 HALE DIAPHRAGM $6.70 PHONE:
11 #038 0191 -00 -0 HALE PM NEEDLE VALVE $101.23 MAKE: MODEL: YR. SERIAL NO. UNIT MILEAGE AR#
KME PUMPER 1996 GSO #2931 ENG46 79,888.00 4271
LABOR.- LABOR
REPAIR ORDER INSTRUCTIONS
HOURS CHARGE
BOB VANVOORST ADVISED TPM SYSTEM INOPERABLE.
DISASSEMBLED QG RELIEF VALVE AND PMD CONTROL VALVE.
CLEANED AND INSTALLED NEW PARTS AS NECESSARY.
REASSEMBLED VALVES AND TEST OPERATED OPERATION OKAY. $445.00
ADDITIONAL PARTS SEE LIST ON BACK
PARTS TOTAL $785.22
SUBLET WORK PRICE PC DISCOUNT $50.00
1 hereby authorize the above repair work to be done w /the ncessary 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 mehanic's lien is hereby acknowledged on above car or truck to secure the amt. of repairs thereto.
X TOTAL LABOR: $395.00':.
TOTAL PARTS: $785.22
NOT RESPONSIBLE
FORLOSSOR MILES TRAVEL RATE PRICE SUBLET WORK:`
DAMAGE TO CARS
ORARTICLESLEFT TRAVEL'EXP.
IN CARS IN CASE OF
FIRE, THEFT OR TAX:
I ANY OTHER CAUSE
SUBLET WORK TOTAL
BEYOND OUR TOTAL TRAVEL. EXPENSES: TOTAL $1,180.22
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))
71438 -IN $1,180.22
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. WAR NO.
Hoosier Fire Equipment ALLOWED 20
IN SUM OF
4009 Montdale Park Drive
Valparaiso, IN 46383
$1,180.22
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1120 71438 -IN 43- 510.00 $1,180.22 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 -6 2009
If
a
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund