210893 07/17/2012 - 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: $1,536.50
VALPARAISO IN 46383 CHECK NUMBER: 210893
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 80996 1, 248 . 00 AUTO REPAIR & MAINTEN
1120 4351000 80997 288 . 50 AUTO REPAIR & MAINTEN
****** INVOICE ****** PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0080997-IN
4009 Montdale Park Drive INVOICE DATE: 07/11/12
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 . 00 288 . 50 288 . 50
REPAIRS ON CUSTOMER' S 2011 SEAGRAVE PUMPER, SERIAL
#78G46, ENGINE #44 - AS PER ATTACHED
TAXABLE . 00
NON-TAXABLE 288 . 50
NET INVOICE: 288 . 50
SALES TAX: . 00
FREIGHT : . 00
INVOICE TOTAL: 288 . 50
HOOSIER FIRE EQUIPMENT, INC. [] HOOSIER FIRE EQUIPMENT, INC.
;`PARTNO'`AND70R.DESCRIPTION PRICE 4009 Montdale Park Drive 3863 North Commercial Parkway
1 2.5" ball valve kit $131.00 Valparaiso, IN 46383 Greenfield, IN 46140
Phone: 219-462-1707 Phone: 317-891-8375
Toll Free: 800-552-2691 Toll Free: 888-436-6075
log
REPAIR ORDER
NAME: Carmel Fire Department RECEIVED: 6/7/2012 DATE: 6/28/2012
ADDRESS: 2 Carmel CIVIC Square PROMISED: CUSTOMER
ORDER#
ICITY: Carmel, IN 46032 TERMS: MECHANIC: MS
IPHONE Bob Van Voorst Cell 317-664-0958
MAKE: MODEL: YR. SERIAL NO. UNIT MILEAGE AR#
SFA M-ll F2011 78G46 Engine 44 5,255 5864
LABOR. LABOR
`REPAIR'ORDER INSTRUCTIONS .. .
HOURS CHARGE~.
Discharge#3 valve leaking- removed &rebuilt with valve service repair kit. $157.50
ADDITIONAL PARTS SEE LIST ON BACK ®►
"`-•PARTS:TOTAL.: -t,131'06
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. An express mechanic's lien is hereby acknowledged on above car or truck to secure the amt.of repairs thereto.
X TOTAL LABOR: .$157,50'
TOTAL'PARTS:
MILES TRAVEL RATE PRICE SUBLET WORK:
NOT RESPONSIBLE FOR -
LOSS OR DAMAGE TO TRAVEL EXP.` '
CARS OR ARTICLES LEFT ,.
IN CARS IN CASE OF FIRE, TAX:
THEFT OR ANY OTHER
., CAUSE BEYOND OUR
-SUBLET TOTAL t'. CONTROL TOTAL•TRAVEL EXPENSES: TOTAL $288:50
****** INVOICE ****** PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0080996-IN
4009 Montdale Park Drive INVOICE DATE: 07/11/12
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 1, 248 . 00 1, 248 . 00
REPAIRS ON CUSTOMER' S 2002 KME PUMPER, SERIAL
#5016, ENGINE #40 - AS PER ATTACHED
TAXABLE . 00
NON-TAXABLE 1, 248 . 00
NET INVOICE: 1, 248 . 00
SALES TAX: . 00
FREIGHT : . 00
INVOICE TOTAL: 1, 248 . 00
HOOSIER FIRE EQUIPMENT, INC. ❑ HOOSIER FIRE EQUIPMENT, INC.
,QTY. ` ," PART NO.:AND/QR DESCRIPTION'' PRICE 4009 Montdale Park Drive 3863 North Commercial Parkway
1 worm gear $ 61.00 Valparaiso, IN 46383 Greenfield, IN 46140
1 sector gear —F249.00 Phone: 219-462-1707 Phone: 317-891-8375
1 trunion $ 107.00 Toll Free: 800-552-2691 Toll Free: 888-436-6075
1 4"valve repair kit $ 207.00 REPAIR ORDER s
1 3"valve repair kit $ 190.00 NAME Carmel/Clay Twp. Fire Dept. RECEIVED: 5/31/2012 DATE: 6/28/2012
1 shipping/freight $ 14.00 ADDRESS: 2 Carmel Civic Square PROMISED:I CUSTOMER
ORDER#
CITY: Carmel, IN 46032 TERMS: MECHANIC: MS
IPHONE: Bob Van Voorst Cell 317-664-0958
MAKE: MODEL: YR. SERIAL NO. UNIT MILEAGE AR#
KME Renegade 2002 5016 Engine 40 73,129 5846
LABOR INS
REPAIR.ORDER TRUCTION&
HOURS CHARGE'
Discharge LDH(4")inoperative. Replaced gears&rebuilt valve with service kit. $ 315.00
Deck gun(3")valve leaking. Removed valve&rebuilt with service kit. $ 105.00
ADDITIONAL PARTS SEE LIST ON BACK -I
"'PARTS 828:00,
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: :$ 420.00'
TOTAL PARTS: $ 828:00'
MILES TRAVEL RATE PRICE SUBLET.WORK '
NOT RESPONSIBLE FOR .• ,
LOSS OR DAMAGE TO TRAV E L.EXP.
CARS OR ARTICLES
LEFT IN CARS IN CASE TAX:
OF FIRE,THEFT OR ANY
OTHER CAUSE BEYOND `
SUBLET WORK TOTAL '. OUR CONTROL. TOTALTRAVEL EXPENSES: TOTAL $.. ' 1,248.00:
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hoosier Fire Equipment
IN SUM OF $
4009 Montdale Park Drive
Valparaiso, IN 46383
$1,536.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 80997 43-510.00 $288.50 1 hereby certify that the attached invoice(s), or
1120 80996 43-510.00 $1,248.00 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 16 ,2012
.7 6
Fire Chief 1
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
vvhom, 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))
80997 E44 $288.50
80996 E40 $1,248.00
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