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207481 03/26/2012
CITY OF CARMEL, INDIANA VENDOR: 131135 Page 1 of 1 ONE CIVIC SQUARE HOOSIER FIRE EQUIPMENT INC CHECK AMOUNT: $4,222.00 i•��'+o CARMEL, INDIANA 46032 4009 MONTDALE PARK DRIVE VALPARAISO IN 46383 CHECK NUMBER: 207481 CHECK DATE: 3126/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 79972 4,222.00 AUTO REPAIR MAINTEN INVOICE PAGE: 1 Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0079972 -IN 4009 Montdale Park Drive INVOICE DATE: 03/12/12 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 4,222.00 4,222.00 REPAIRS ON CUSTOMER'S 1989 GRUMMAN 102' AERIALCAT, SERIAL 418125- AC102, TOWER 441 AS PER ATTACHED TAXABLE .00 NON- TAXABLE 4,222.00 NET INVOICE: 4,222.00 SALES TAX: .00 FREIGHT: .00 INVOICE TOTAL: 4,222.00 HOOSIER FIRE EQUIPMENT, INC. HOOSIER FIRE EQUIPMENT, INC. E QTY. PART NO. ANWOR DESCRIPTION PRICE 4009 Montdale Park Drive 3863 North Commercial Parkway 1 pressure filter $237.00 Valparaiso, IN 46383 Greenfield, IN 46140 1 return filter $21.00 Phone: 219 462 -1707 Phone: 317 891 -8375 1 transfer valve ball repair kit $180.00 Toll Free: 800 552 -2691 Toll Free: 888- 436 -6075 1 packing replacement kit, CM /CS $252.00 REPAIR ORDER 2 transfer valve switch kit $258.00 NAME: Carmel /Clay Twp. Fire Dept. RECEIVED: 212812012 DATE: 3/6/2012 1 3" valve repair kit $183.00 ADDRESS: 2 Carmel Civic Square PROMISED: O DE R 1 freight/shipping $65.00 CITY: Carmel, IN 46032 TERMS: MECHANIC: MS PHONE: MAKE: MODEL: YR. SERIAL NO, UNIT MILEAGE AR Grumman AerialCat 102 1989 18125 -AC102 Tower 41 49,333 5559 LABOR, LABOR, REPAIR ORDER INSTRUCTIONS CHARGE_ Removed existing Waterous pump packing installed new packing. Removed discharge drain #1. Cleaned and rebuilt with service kit reinstalled. reinstalled. Checked for leaks none found. Removed discharge drain #1. Cleaned and rebuilt with service kit reinstalled. reinstalled. Checked for leaks none found. Replaced broken drain hose on auxiliary suction. Removed Waterous transfer valve. Cleaned installed service repair kit reinstalled. Removed tank suction valve. Cleaned installed service repair kit reinstalled. erformed vacuum test on plumbing valves passed with unit losing 1.5" in five minute test. Installed new transfer valve switch kit, test operated pump ladder to check all repairs. Removed and installed new ladder hydraulic pressure return filters. ADDITIONAL PARTS SEE LIST ON BACK -m* Test operated ladder and checked list of defects noted by previous inspection. PARTS.TOTAL _i $1;140©', Cleaned and lubricated ladder slides. Lubricated all other fittings on ladder. 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 and /or Inspection X TOTAL LABOR: $3,026.00 TOTAL PARTS: $1,196,00 MILES TRAVEL RATE PRICE SUBLET WORK: NOT RESPONSIBLE FOR LOSS OR DAMAGE TO TRAVEL.EXP. CARS OR ARTICLES LEFT IN CARS IN CASE TAX: OF FIRE, THEFT OR ANY OTHER CAUSE BEYOND SUBLET WORK TOTAILL OUR CONTROL. TOTAL TRAVEL EXPENSES:' TOTAL $4,222.00 VOUCHER NO. WARRA NO. Hoosier Fire Equipment ALLOWED 20 IN SUM OF 4009 Montdale Park Drive Valparaiso, IN 46383 $4,222.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members 1120 79972 43- 510.00 $4,222.00 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 MAR 2 3 2D12 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 79972 L40 $4,222.00 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