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Home My WebLink About213046 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 131135 Page 1 of 1 0 ONE CIVIC SQUARE HOOSIER FIRE EQUIPMENT INC 4009 MONTDALE PARK DRIVE, CHECK AMOUNT: $1,918.65 CARMEL INDIANA 46032 VALPARAISO IN 46383 CHECK NUMBER: 213046 CHECK DATE: 9/25/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351501 81600 1, 757 . 55 EQUIPMENT MAINT CONTR 102 4467099 81612 161 . 10 OTHER EQUIPMENT ****** INVOICE ****** PAGE: 1 Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0081600-IN 4009 Montdale Park Drive INVOICE DATE: 09/17/12 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, 757 . 55 1, 757 . 55 ANNUAL PREVENTATIVE MAINTENANCE ON CUSTOMER' S AMKUS HYDRAULIC RESCUE EQUIPMENT - AS PER ATTACHED 'TAXABLE . 00 NON-TAXABLE 1, 757 . 55 NET INVOICE: 1, 757 . 55 SALES TAX: . 00 FREIGHT: . 00 INVOICE TOTAL: 1, 757 . 55 HOOSIER FIRE EQUIPMENT, INC. HOOSIER FIRE EQUIPMENT, INC. QT.Y. '*. PART NO.'AND/OR DESCRIPTION. PRICE 4009 Montdale Park Drive 3863 North Commercial Parkway 7 ;MV-1 Hydraulic Fluid N/C Valparaiso, IN 46383 Greenfield, IN 46140 4 ;1OW30 Motor Oil N/C Phone: 219-462-1707 Phone: 317-891-8375 2 #P10281 -"O" Ring N/C Toll Free: 800-552-2691 Toll Free: 888-436-6075 2 .#P10282 -"O" Ring N/C REPAIR ORDER 2 !#P350308-Simo valve Gasket N/C NAME: Carmel Fire Department RECEIVED: DATE: 9/12/2012 2 #P40987- Engine Adapter Gasket N/C ADDRESS: Two Civic Square PROMISED: CUSTOMER ORDER# 2 :#P421391 -Reservoir Gasket N/C CITY: Carmel, IN 46032 TERMS: NET 10 MECHANIC: RH 7 ;#840131001000- Dust Cap $ 21.00 PHONE: 1 #980771300030- Danger Decal N/C MAKE: MODEL: YR. SERIAL NO. UNIT MILEAGE ARp 1 #980771200020-Close/Open Decal N/C 1 :#98761310010-Amkus Logo Decal N/C LABOR LABOR REPAIR ORDER INSTRUCTIONS 1 :#99028100002 -Cutter Handle Grip Cover $ 8.05 HOURS. CHARGE 1 :#990281000001 -Control Valve Grip $ 10.00 Performed Annual Preventative Maintenance on Customer's Amkus Hydraulic $1,680.00 1 :#301001461150-Left Handle Bracket $ 38.50 Rescue Equipment As Follows: (2)-#GH2S-XLA Simo Pump, Serial#9608123; #96080126 (2)-#GH2A Mini Pump, Serial#10030184; #100301183 (3)-#C15 Combi Tools, Serial#99080580; #1002135; #01010662 (1)-#22 Cutter, Serial#09090186 (1)-#22S Cutter, Serial#96080302/UD (1)-#30CX Spreader, Serial#96083254 (1)-#30R Ram, Serial#96081307 (2)-#40R Ram, Serial#95011843/R; #96032265 (2)-#60R Ram, Serial#99091143; #99091146 (3)-30' Extension Hoses (3)-20' Extension Hoses (4)- 10" Ram Extensions ADDITIONAL PARTS SEE LIST ON BACK b (1)- ResQtec Q-1 Cutter PART&ToTAL $ 77.55. (2)-Chain Packages SUBLET WORK PRICE I 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. X TOTALLABOR: $1,680.00' 'TOTAL PARTS: :$ 77.55 NOT RESPONSIBLE FOR LOSS OR MILES TRAVEL RATE PRICE - SUBLET WORK:. $ - DAMAGE TO CARS OR ARTICLES LEFT TRAVEL EXP. IN CARS IN CASE OF _ FIRE,THEFT OR _ ,TAX: _ ANY OTHER CAUSE - - BEYOND OUR -- -. SUBLET WORK TOTAL` $ - CCNTROL. TOTAL TRAVEL,EXPENSES: $ - TOTAL C==:> $` 1,757.55 AMKUS SERVICE & MAINTENANCE REPORT Service Technician Name: RH Equipment Owner: Carmel FD AR or Shop Repair Number: 6021 Station/Location: Date of Service: 9/11/2012 AMKUS POWER UNIT AMKUS CUTTER and COMBINATION TOOLS Serial Number: 96080123 Serial Number: 09090186 F�GB2A-XL X-]]General F-]Model 25ED X❑GeneralInspection F-]GB2A-STD X❑Hydraulic Hose(s) Model 25S X❑Torque Center Bolt F-]GH2A-Mini Pump X❑Couplings Model 25L X❑Inspect Cutter Blades F-]GT2S-XL X]Hydraulic Fluid Model 25P X❑Inspect Friction Plates F-]GB2S-XL ®Fuel Level Model C-15 XKClean and Lubricate ❑ X GH2S-XLA [X—]Motor Oil Level Model 25C F_]HP101-Hand Pump Model 21 XModel 22 F-]A 101-Air Pump Maintenance Notes: Cleaned, tubed and inspected. Re- 70ther Pressures L-10,900 R-10,700 placed decals as needed. Maintenance Notes: Replaced motor and hydraulic oils. AMKUS HYDRAULIC RAMS AMKUS HYDRAULIC SPREADER 1-120-R Serial No. Serial Number: 96083254 X30-R Serial No. 96081307 X❑Model 30CX X❑General Inspection X 40-R Serial No. 95011843/R Model 28 X❑Tool Operation X60-R Serial No. 99091143 7Model 24 XRack Shield X❑General Inspection X❑Rod XArms X�Threads X-]Rod End X❑Tips X�Clean and Lubricate XClean and Lubricate Maintenance Notes: Cleaned, lubed and inspected. Maintenance Notes: Cleaned, tubed and inspected. Replaced decals as needed. Replaced valve grip and left handle bracket. REPLACEMENT PARTS: ANNUAL MAINTENANCE FEE: QTY Item No. Description Price Total Labor See attached $ Parts $ - $ Other $ Subtotal $ Sales Tax $ Shipping & Handling Is TOTAL DUE Additional equipment olI back AMKUS SERVICE & MAINTENANCE REPORT Service Technician Name: RH Equipment Owner: Carmel FD AR or Shop Repair Number 6021 Station/Location: 0 Date of Service: 9/11/2012 AMKUS POWER UNIT AMKUS CUTTER and COMBINATION TOOLS Serial Number: 96080126 Serial Number: 01010662 F—]GB2A-XL XGeneral inspection Model 25ED X]General inspection F—]GB2A-STD XQHydraulic Hose(s) Model 25S X�Torque Center Bolt F—]GH2A-Mini Pump XX Couplings Model 25L Z]Inspect Cutter Blades F—]GT2S-XL X❑Hydraulic Fluid 7Model 25P X❑Inspect Friction Plates F]GB2S-XL XOFuel Level XModel C-15 X❑Clean and Lubricate ❑ X GH2S-XLA XQ Motor Oil Level Model 25C F—IHP101-Hand Pump Model 21 Model 22 F_]A 101-Air Pump Maintenance Notes: Cleaned, lubed and inspected. Other Pressures L-10,900 R-11,000 Need to order protective boot PN 40020142402. Made Maintenance Notes: replaced motor and hydraulic temporary repair. Replaced decals as needed. oils. AMKUS HYDRAULIC RAMS AMKUS HYDRAULIC SPREADER F-120-R Serial No. Serial Number: ❑30-R Serial No. Model 30CX General Inspection X40-R Serial No. 96032265 Model 28 7Tool Operation X60-R Serial No. 99091146 Model 24 Rack Shield XGeneral Inspection XX Rod Arms XQThreads XRod End Tips X❑Clean and Lubricate Clean and Lubricate Maintenance Notes: Cleaned, lubed, and inspected. Maintenance Notes: REPLACEMENT PARTS: ANNUAL MAINTENANCE FEE: QTY Item No. Description Price Total Labor 0 0 0 $ Parts $ - 0 0 0 $ Other 0 0 0 $ Subtotal 0 0 0 $ Sales Tax 0 0 0 $ Shipping & Handling 0 0 0 $ TOTAL DUE I 0 I 0 I 0 I Pahl 2 I AMKUS SERVICE & MAINTENANCE REPORT Service Technician Name: RH Equipment Owner: Carmel FD AR or Shop Repair Number: 6021 Station/Location: 0 Date of Service: 9/11/2012 AMKUS POWER UNIT AMKUS CUTTER and COMBINATION TOOLS Serial Number: 10030184 Serial Number: 96080302/UD F-]GB2A-XL X❑General inspection Model 25 X❑General Inspection F-]GB2A-STD X❑Hydraulic Hose(s) IX Model 25S KTorque Center Bolt ❑ X GH2A-Mini Pump XCouplings Model 25L Inspect Cutter Blades F--IGT2S-XL XHydraulic Fluid Model 25P XQlnspect Friction Plates F-]GB2S-XL X�Fuel Level Model C-15 X]Clean and Lubricate F-IGH2S-XL XMotor Oil Level Model 25C QHP101=Hand Pump Model 21 Model 22 F_]A 101-Air Pump Maintenance Notes: Cleaned, lubed and inspected. Re- F-]Other Pressure 11,000 placed side grip cover and dust boots as needed. Maintenance Notes: Replaced motor and hydraulic oils. AMKUS HYDRAULIC RAMS AMKUS HYDRAULIC SPREADER F-120-R Serial No. Serial Number: f_�30-R Serial No, 7Model 30CX General Inspection F-]40-R Serial No. Model 28 Tool Operation F-]60-R Serial No. Model 24 Rack Shield General Inspection Rod Arms Threads Rod End Tips Clean and Lubricate Clean and Lubricate Maintenance Notes: Maintenance Notes: REPLACEMENT PARTS: ANNUAL MAINTENANCE FEE: QTY Item No. Description Price Total Labor 0 0 0 $ Parts $ - 0 0 0 $ Other 0 0 0 $ Subtotal 0 0 0 $ Sales Tax 0 0 0 $ Shipping & Handling 0 0 0 $ TOTAL DUE 0 0 0 AMKUS SERVICE & MAINTENANCE REPORT Service Technician Name: RH Equipment Owner: Carmel FD AR or Shop Repair Number: 6021 Station/Location: 0 Date of Service: 9/11/2012 AMKUS POWER UNIT AMKUS CUTTER and COMBINATION TOOLS Serial Number: 10030183 Serial Number: 1) 99080580 2) 10021352 F—]GB2A-XL X❑General Inspection Model 25ED X❑General inspection F—]GB2A-STD X❑Hydraulic Hose(s) Model 25S X❑Torque Center Bolt ❑ X GH2A-Mini Pump X❑Couplings Model 25L X❑inspect Cutter Blades F—]GT2S-XL X❑Hydraulic Fluid Model 25P X]Inspect Friction Plates F—]GB2S-XL OFuel Level F2]Model C-15 X]Clean and Lubricate F—]GH2S-XL X]Motor Oil Level 7Model 25C F-IHP101-Hand Pump Model 21 Model 22 F_�A 101-Air Pump Maintenance Notes: Cleaned, lubed and inspected. Re- F—]Other Pressure 10,800 placed decals and dust caps as needed. Maintenance Notes: Cleaned, lubed, inspected. AMKUS HYDRAULIC RAMS AMKUS HYDRAULIC SPREADER F-120-R Serial No. Serial Number: F—]30-R Serial No. Model 30CX General Inspection 740-R Serial No. Model 28 7Tool Operation F—]60-R Serial No. Model 24 Rack Shield General Inspection Rod 7Arms Threads Rod End Tips Clean and Lubricate Clean and Lubricate Maintenance Notes: Maintenance Notes: REPLACEMENT PARTS: ANNUAL MAINTENANCE FEE: QTY Item No. Description Price Total Labor 0 0 0 $ Parts $ - 0 0 0 $ Other 0 0 0 $ Subtotal 0 0 0 $ Sales Tax 0 0 1 0 Shipping & Handling 0 0 0 $ TOTAL DUE 0 0 1 0 AMKUS SERVICE & MAINTENANCE REPORT Additional Equipment QTY PART NUMBER DESCRIPTION 2 Chain kits Inspected threads and mechanisms 4 10" ram extensions Inspected and repaired damaged threads on 2 units. 3 20' extension hoses Inspected, flushed and retied as needed 3 30' extension hoses Inspected, flushed and retied as needed 1 ResQtec Q-1 cutter Inspected and cleaned. Page 1 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 Iternized niust 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)) 81600 $1,757.55 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 $ 4.009 Montdale Park Drive Valparaiso, IN 46383 $1,757.55 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1120 I 81600 I 43-515.01 f $1,757.55 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 SEP ? 4 2012 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund ****** INVOICE ****** PAGE: 1 Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0081612-IN 4009 Montdale Park Drive INVOICE DATE: 09/19/12 Valparaiso, Indiana 46383 ORDER NUMBER: 0111124 ORDER DATE: 08/31/12 (219) 462-1707 SALESPERSON R. W. Pressel 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 UNITED PARCEL Net 10 -------------------------------------------------------------------------------- ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT -------------------------------------------------------------------------------- /SORDER EACH 1 . 00 1 . 00 0 . 00 150 . 00 150 . 00 #REXT, FIRE HOOKS REX TOOL, "U" SHAPED LOCK PULLER, 24" LONG WITH (2) LOCK OPERATING KEY TOOLS, CELTEX GRIP AND PRY END TAXABLE . 00 NON-TAXABLE 150 . 00 NET INVOICE: 150 . 00 SALES TAX: . 00 FREIGHT: 11 . 10 INVOICE TOTAL: 161 . 10 Irescribed by State Board of Accounts City Form No.201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL kn 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)) 81612 $161.10 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 $161.10 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I 81612 1 102-670.99 I $161.10 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 r 1 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund