HomeMy WebLinkAbout211320 07/31/2012 CITi`OF CRRMEL, INDIANA VENDOR: 131135 Page 1 of 1
ONE CIVIC SQUARE HOOSIER FIRE EQUIPMENT INC
CARMEL, INDIANA 46032 4009 MONTDALE PARK DRIVE CHECK AMOUNT: $475.00
VALPARAISO IN 46383 CHECK NUMBER: 211320
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 81117 475 . 00 AUTO REPAIR & MAINTEN
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****** INVOICE ****** PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0081117-IN
4009 Montdale Park Drive INVOICE DATE : 07/24/12
Valparaiso, Indiana 46383
ORDER NUMBER:
ORDER DATE:
(219) 462-1707 SALESPERSON House
CUSTOMER NO: CARMOI
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:
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CUSTOMER P.O. SHIP VIA F.O. B TERMS
OUR DELIVERY Net 10
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ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT
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/SERVICE EACH 1 . 00 1 . 00 0 . 00 475 . 00 475 . 00
REPAIRS ON CUSTOMER' S 1005 KME PUMPER, SERIAL
#2930, ENGINE #43 - AS PER ATTACHED
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TAXABLE . 00
NON-TAXABLE 475 . 00
NET INVOICE : 475 . 00
SALES TAX: . 00
FREIGHT: . 00
INVOICE TOTAL: 475 . 00
❑ HOOSIER FIRE EQUIPMENT, INC. F-1 HOOSIER FIRE EQUIPMENT, INC.
QTY. PART NO. AND/OR DESCRIPTION PRICE 4009 Montdale Park Drive 3863 North Commercial Parkway
Valparaiso, IN 46383 Greenfield, IN 46140
Phone: 219-462-1707 Phone: 317-891-8375
Toll Free: 800-552-2691 Toll Free: 888-436-6075
REPAIR ORDER
NAME: Carmel Fire Department RECEIVED: 7/18/2012 DATE: 7/18/2012
ADDRESS: 2 Carmel CIVIC Square CUSTOMER
PROMISED: ORDER#
CITY: Carmel IN 46032 TERMS: MECHANIC: MS shop
PHONE: Bob Van Voorst cell 317-664-0958
MAKE: MODEL: YR, SERIAL NO. UNIT MILEAGE AR#
KME Renegade 1995 2930 Engine 43 84,688 5899
LABOR REPAIR ORDER INSTRUCTIONS LABOR
HOURS CHARGE
Right side MIV valve inoperative. $ 475.00
Removed electric motor and gear mechanism. Disassembled,found main
actuator shaft bound up in the housing providing too much resistance for
the electric motor to turn. Cleaned all parts and sanded rust from shaft.
Rebuilt unit and re-installed. Tested for proper operation.
Note: Had to drill and retap several holes in the pump panel.
FEE
ADDITIONAL PARTS SEE LIST ON BACK —1
PARTS TOTAL 11* $ �-
SUBLET WORK PRICE
TOTAL LABOR $ 475.00
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: $ 475.00
TOTAL PARTS: $
NOT RESPONSIBLE
FOR LOSS OR MILES TRAVEL RATE PRICE SUBLETWORK: .$ .
DAMAGE TO CARS OR
ARTICLES LEFT IN TRAVEL EXP.`�'$
CARS IN CASE OF ..-
FIRE,THEFT OR ANY "TAX:
_ OTHER CAUSE
SUBLET WORK TOTAL $ BEYOND OUR
d: CONTROL. TOTAL`TRAVEL EXPENSES --
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
✓vhom, 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))
81117 E43 $475.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hoosier Fire Equipment
IN SUM OF $
4009 Montdale Park Drive
Valparaiso, IN 46383
$475.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
1120 I 81117 I 43-510.00 I $475.00 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
/7 c
Y
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund