171876 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 131135 Page 1 of 1
0 ONE CIVIC SQUARE HOOSIER FIRE EQUIPMENT INC
CARMEL, INDIANA 46032 4009 MONTDALE PARK DRIVE CHECK AMOUNT: $4,797.00
VALPARAISO IN 46383 CHECK NUMBER: 171876
CHECK DATE: 4/29/2009
DEPARTMENT ACC OUNT P O NUMBER INVOI N AM DE
1120 4351000 70816 -IN 4,797.00 AUTO REPAIR MAINTEN
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INVOICE PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0070816 -IN
4009 Montdale Park Drive INVOICE DATE: 04/17/09
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 4,797.00 4,797.00
REPAIRS TO CUSTOMER'S 1996 KME PUMPER, SERIAL
#2930 AS PER ATTACHED
TAXABLE .00
NON- TAXABLE 4,797.00
NET INVOICE: 4,797.00
SALES TAX: .00
FREIGHT: .00
INVOICE TOTAL: 4,797.00
HOOSIER FIRE EQUIPMENT, INC. HOOSIER FIRE EQUIPMENT, INC.
i, TflIY� tll;71i'., k1tlyPARTtl'ad ,N l /,O,RD N1 •z
PRICES 4009 Montdale Park Drive 3863 North Commercial Parkway
1 HALE ZM -58 PACKING KIT $147.00 Valparaiso, IN 46383 Greenfield, IN 46140
1 AKRON 2" VALVE REPAIR KIT $110.00 Phone: 219 462 -1707 Phone: 317 891 -8375
2 AKRON 3" VALVE REPAIR KIT $320.00 Toll Free: 800 552 -2691 Toll Free: 888 436 -6075
1 COMPRESSOR GOVERNOR $17.00 REPAIR ORDER
1 DRAIN VALVE $9.00 NAME: CARMEL FIRE DEPARTMENT RECEIVED: 4/2/2009 DATE: 4/14/2009
CUSTOMER
1 1/2" X 36" THREADED ROD $13.00 ADDRESS: 2 CIVIC SQUARE PROMISED: ORDER#
3 1/2" x 12" THREADED ROD $9.00 CITY: CARMEL, INDIANA 46032 TERMS: MECHANIC: TH EB
1 5" BRAY BUTTERFLY VALVE $562.00 PHONE:
1 DIAPHRAGM PM -688 $7.00 MAKE: MODEL: YR. SERIAL NO. UNIT MILEAGE AR#
1 WASHER FIR -396 $5.00 KME PUMPER 1996 GSO #2930 T Engine 43 1 70717 4193
I 'sr g I z I 1 SENSING g Ir�l „1 i, 11111f $68.00 OR 11�� Il 1, �i RER41R90RDERIINSTRUCTIONS I a I6 p HOURS 111I tl a I 1 ,d ��l- 1 d 1 1911{ lot ,1, II 1 TPM SENSING VALVE SPRING $5.50 ,I9tl, +l�ulat {o,flllhl ill1,�� la,udl�T 1f:Ill���1�, „1,a��•9.. ���li.. 1I„ I��tlili11 N111�IINN���LIoI�I 'r�1�I,�I�R�1�11�1��
VALVE CLAMP
1 VALVE STRAINER $31.50 ASSESSED PROBLEMS, REMOVED PACKING, SEARCHED FOR $2,358.50
1 P25 -P30 GASKET $3.50 AIR LEAKS INSTALLED NEW PUMP PACKING
1 40Q -3N62 RING SEAL $3.50 REBUILT TANK TO PUMP TANK FILL VALVES
1 40 -4N300 SEAL RING $3.50 REBUILT MASTER STREAM VALVE
1 RETAINING RING $5.00 REBUILT PG -30 VALVE
1 RING SEAL $3.50 REBUILT SENSING VALVE
1 TPM PISTON $159.50 ADJUSTED PUMP PACKING
1 RELIEF VALVE WITH VULC. SEAT $300.00 REMOVED AND REPLACED 5” BUTTERFLY VALVE, CLEANED
1 CLASS1 3/4" AIR OPERATED DRAIN VALVE $95.00 FLANGE CHECKED FOR CRACKS.
2 FREIGHT /SHIPPING $21.00 REMOVED AND REPLACED COMPRESSOR GOVERNOR AND TANK
DRAIN VALVE.
REMOVED AND REPLACED ALTERNATOR
AFTER ALL PARTS INSTALLED AND PACKING ADJUSTED, PERFORMED
ADDITIONAL PARTS SEE LIST ON BACK VACUUM TEST. PUMP LOST 1.5" HG IN FIVE MINUTE TEST. ALSO TEST
rt 1 1 a 11,, s r `I. v, l:.';'" 4RTST®TAL,Ia a tl, s1 iW
tlr kw OPERATED PUMP AND RELIEF VALVE. RELIEF VALVE OPERATES AS III
SUBLET WORK PRICE DESIGNED. PC DISCOUNT ($265.00)
REBUILD ALTERNATOR $805 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.
t, Ytll N IV 9s"mtir,Wnaflir,ti #,utuVa IM ltgll 1 r sl a+q,I, +Itl „Ixl ,i „p rluarvwytlo�
X ,;wl TOTAL LABOR I' 093'5,0!
]"ti; 1 TOTALFARTS 1 1 1 I Gd1 +1898
NOT FOR LOSS OR RESPONS MILES TRAVEL RATE PRICE l h SUBLETtl,W,0RI<
DAMAGE TO CARS 11 I 9 t 111 4 h 1, p',I G ;,G°a4l r 4 NI fl 1 a�T,i a+, q
OR ARTICLES LEFT la}„ 319�Z1ddd, Itl,'�P1auIli�tlTRAVELk1'y..EXF'—
IN CARS IN CASE OF I
FIRE, THEFT OR dd �d�l l Idi,YYp 1y i i i� �I �fl Ip yr �q
NY OTHER CAUSE M11 ii rv,1�lh'141 �tll I,I 'I h T/,ax 191+ IIr�,.
1... rvl..�..,.. ry a. k,N
s..7,.7 II. NW II u tl 4..... Y... N, ::-11V ia.,
h I,nl....1. I u... Ad a1.. �N r.. L. .9a. itl 1 1.... 1 1.....
1. #?u &1 tl9, .IA,h r wf9 911 I 7.. s 1 1 u 9 I r I al i1 1
BEYOND R I :.n. tl��vl7iiu��h9l yh 9l� „G: ,r�.'.N�'�HI 91 4„ 3�u,, p[ ,i[
k q 13 ,9, U „9h fl {1 „9N h 4,
II,1, d r h� al9y 1 ,1 I „�lt i,. I il�lllphdid, w
77 .1,1 tlll i�.,.�fi "�.S.UBL_ET WO.RK.TOTAL 805 :.00,.... TO [AL.TRAVELsEXPENSES... 1., ,N TOTAL 4 797.00:,•
A,I. G9 E,{a ui� u .l.,t��,�r�l. ,a �.hN n...A „A.:.,.:,.r..,... 43��N..»m. r 3 u ,.wa�a..,.�.,.. ,l{1�1d' .M •..,,Ah CONTROL. 'c♦IS'An��tll „a ,XL... ,tl,I L...: 7,.a.�e,.,.., .I, ,,,:w.- .....o .�i �k', lu �N �dl :n�`Pu7 nw I,VF X;.
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))
70816 -IN Repair E43 $4,797.00
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.
ALLOWED 20
Hoosier Fire Equipment
IN SUM OF
40G Montdale Park Drive
Valparaiso, IN 46383
$4,797.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 70816 -IN 43- 510.00 $4,797.00 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
APR 2 7 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund