HomeMy WebLinkAbout216741 01/29/2013 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: $605.00
VALPARAISO IN 46383 CHECK NUMBER: 216741
CHECK DATE: 1129/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 82588 605 . 00 AUTO REPAIR & MAINTEN
****** INVOICE ****** PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0082588-IN
4009 Montdale Park Drive INVOICE DATE: 01/10/13
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:
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 . 00 605 . 00 605 . 00
REPAIRS ON CUSTOMER' S 1996 KME PUMPER, SERIAL
#2670, ENGINE #49 - AS PER ATTACHED
TAXABLE . 00
NON-TAXABLE 605 . 00
NET INVOICE: 605 . 00
SALES TAX: . 00
FREIGHT: . 00
INVOICE TOTAL: 605 . 00
IF] HOOSIER FIRE EQUIPMENT, INC. [] HOOSIER FIRE EQUIPMENT, INC.
QTY. PART NO. AND/OfZ DESCRIPTION PRICE 4009 Montdale Park Drive 3863 North Commercial Parkway
1 Speed Counter Adapter $ 103.00 Valparaiso, IN 46383 Greenfield, IN 46140
1 Speed Counter Cable $ 181.00 Phone: 219-462-1707 Phone: 317-891-8375
1 Valve Repair Kit, 2-1/2" $ 131.00 Toll Free: 800-552-2691 Toll Free: 888-436-6075
REPAIR ORDER
NAME: Carmel Fire Department RECEIVED: 1/7/2013 DATE: 1/7/2013
CUSTOMER
ADDRESS: Two CIVIC Square PROMISED: ORDER#
CITY: Carmel, IN 46032 TERMS: MECHANIC: MS
PHONE:
MAKE: MODEL: YR. SERIAL NO. UNIT MILEAGE AR#
KME Pumper 1996 #2670 Engine 49 93,965 6074
OU RS
REPAIR ORDER INSTRUCTIONS CHARGE
Removed discharge valve#1 and rebuilt with valve service kit. Reinstalled valve
and test operated-no leaks found.
Removed & installed new cable&counter adapter at pump panel. Test operate-
test operated okay.
$190.00
ADDITIONAL PARTS SEE LIST ON BACK
PARTS TOTAL 4 $ 415.001
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. $190.00
TOTAL PARTS: $415.00
NOT RESPONSIBLE
FOR LOSS OR MILES TRAVEL RATE PRICE SUBLET WORK:
DAMAGE TO CARS OR
ARTICLES LEFT IN TRAVEL EXP.
CARS IN CASE OF
FIRE,THEFT OR ANY TAX:
OTHER CAUSE _ - _
BEYOND OUR
SUBLET-WORK TOTAL I.conTROL. TOTAL TRAVEL EXPENSES: TOTAL $605.00
I
'rescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
rohom, 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))
82588 E49 $605.00
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
$605.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 I 82588 I 43-510.00 I $605.00 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
JAN 2 8 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund