HomeMy WebLinkAbout211786 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 131135 Page 1 of 1
ONE CIVIC SQUARE HOOSIER FIRE EQUIPMENT INC
s CHECK AMOUNT: $16.00
,,•�,?� CARMEL, INDIANA 46032 4009 MONTDALE PARK DRIVE
VALPARAISOIN 46383 CHECK NUMBER: 211786
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 81224 95 . 00 AUTO REPAIR & MAINTEN
1120 4351000 81230 —79 . 00 AUTO REPAIR & MAINTEN
****** INVOICE ****** PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0081230-IN
4009 Montdale Park Drive INVOICE DATE: 08/02/12
Valparaiso, Indiana 46383
ORDER NUMBER:
ORDER DATE:
(219) 462-1707 SALESPERSON House/MS
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:
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CUSTOMER P. O. SHIP VIA F. O. B TERMS
OUR DELIVERY Net 10
--------------------------------------------------------------------------------
ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT
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QL48Z15C EACH 4 . 00 4 . 00 0 . 00 39 . 50 158 . 00
SOUTH PARK 1-112" QUIC-LOC HOLDER
QL48Z25C EACH 6 . 00 6 . 00 0 . 00 39 . 50 237 . 00
SOUTH PARK 2-1/2" QUIC-LOC HOLDER
HSMB-50 EACH 6. 00 6. 00 0 . 00 56. 00 336 . 00
HARRINGTON 5" STORZ MOUNTING BRACKET
/SORDER EACH 1 . 00 1 . 00 0 . 00 810 . 00- 810 . 00-
CREDIT FOR LOOSE EQUIPMENT INSTALLATION ON NEW
SEAGRAVE MII PUMPERS (#78G45-46)
TAXABLE . 00
NON-TAXABLE 79. 00-
NET INVOICE: 79 . 00-
SALES TAX: . 00
FREIGHT : . 00
INVOICE TOTAL: 79 . 00-
****** INVOICE ****** PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0081224-IN
4009 Montdale Park Drive INVOICE DATE : 08/02/12
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 95 . 00 95 . 00
REPAIRS ON CUSTOMER' S 1996 KME PUMPER, SERIAL
#2670, ENGINE #49 - AS PER ATTACHED
TAXABLE . 00
NON-TAXABLE 95 . 00
NET INVOICE: 95 . 00
SALES TAX: . 00
FREIGHT: . 00
INVOICE TOTAL: 95 . 00
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))
81224 E40 $95.00
81230 ($79.00)
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
$16.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 81224 43-510.00 $95.00 1 hereby certify that the attached invoice(s), or
1120 81230 43-510.00 ($79.00) 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
AUG 13 2012
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund