217182 02/13/2013 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: $1,952.20
ray VALPARAISO IN 46383 CHECK NUMBER: 217182
CHECK DATE: 2/1312013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 82782 IN 1, 843 . 00 AUTO REPAIR & MAINTEN
1120 4237000 82807 IN 109 . 20 REPAIR PARTS
****** INVOICE ****** PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0082807-IN
4009 Montdale Park Drive INVOICE DATE : 01/31/13
Valparaiso, Indiana 46383
ORDER NUMBER: 0112038
ORDER DATE: 01/25/13
(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
UNITED PARCEL SHIPPING POINT Net 10
--------------------------------------------------------------------------------
ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT
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/SORDER EACH 2 . 00 2 . 00 0 . 00 50 . 00 100 . 00
#P-7420, NATALE FLIP-LID COVER PLATE ASSEMBLY FOR
15 OR 20 AMP SINGLE RECEPTACLE
TAXABLE . 00
NON-TAXABLE 100 . 00
NET INVOICE : 100 . 00
SALES TAX: . 00
FREIGHT : 9 . 20
INVOICE TOTAL: 109 . 20
****** INVOICE ****** PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0082782-IN
4009 Montdale Park Drive INVOICE DATE: 01/29/13
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
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/SERVICE EACH 1 . 00 1 . 00 0 . 00 1, 843 . 00 1, 843 . 00
REPAIRS ON CUSTOMER' S 1989 GRUMMAN 102 ' AERIALCAT,
SERIAL #18125-AC102, TOWER #40 - AS PER
ATTACHED
TAXABLE . 00
NON-TAXABLE 1, 843 . 00
NET INVOICE: 1, 843 . 00
SALES TAX: . 00
FREIGHT : . 00
INVOICE TOTAL: 1, 843 . 00
i
HOOSIER FIRE EQUIPMENT, INC. ❑ HOOSIER FIRE EQUIPMENT, INC.
'QTYP`ARTNOAND/Q,RDESCRIPTI;ON PRICE ', 4009 Montdale Park Drive 3863 North Commercial Parkway
1 Hydraulic Pressure Filter $135.00 Valparaiso, IN 46383 Greenfield, IN 46140
1 Hydraulic Return Filter $80.00 Phone: 219-462-1707 Phone: 317-891-8375
1 Shipping/Freight $12.00 Toll Free: 800-552-2691 Toll Free: 888-436-6075
NS
REPAIR ORDER
NAME: Carmel/Clay Twp. Fire Dept. RECEIVED: 1/17/2013 DATE: 1/18/2013
CUSTOMER
ADDRESS: 2 Carmel CIVIC Square PROMISED: ORDER#
CITY: Carmel, IN 46032 TERMS: MECHANIC: MS
PHONE: Hours 6202
MAKE: MODEL: YR. SERIAL NO. UNIT MILEAGE AR#
Grumman Aerial Cat 102 1989 18125-AC102 Tower 40 49,947 6006
O JOR
f 1 `R PgIR ORR INSTRUO �..' �OR
ONE.'•cam. � � ' fin,.. ' CHARGE
Lubricated ladder as per OEM Maintenance Manual. The following were lubricated $1,330.00
bottom plate outriggers&all outrigger beams fully extended and the bottom coated
with grease,Turntable bearing(2 zerks), Ladder pivot, (2 zerks), Lift cylinder barrel
end(4 zerks), Lift cylinder rod end(4 zerks), Sheave wheels(4 zerks), Swing box
gear case(checked oil level-okay), Wear pads-cleaned all surfaces and applied
new grease to bottom and sides of rung rails, Basket leveling cylinders(2 zerks),
Base leveling cylinders(4 zerks), Basket pivot(2 zerks),Access ladder wear pads
NOTE:After performing service on unit, (1 each side)&ladder slides cleaned&lubricated.
test operated all ladder system Remove existing and installed new hydraulic pressure and return filters. $95.00
operations. Outriggers performed as Rear left outrigger emergency controls seeping fluid. Found three(3)steel hydraulic $48.00
designed in both the automatic lines slightly loose. Tightened the lines.
and manual modes. Front right outrigger extension cylinder bolts are loose. Found loose bolts as marked $143.00
j by inspection company. Tightened the bolts to 75 FT LBS.
Outrigger sensors are not working properly. Checked the outrigger extension sensors
ADDITIONAL PARTS SEE LIST ON BACK for proper spacing. Should be.250 inch. Found right front at.437 inch. Depending
4s�Eaap "' ic' 'rfi° r.yea a•:++nnv ,
A x , _ p� PARTS'TdOTA $ 27 t20 on the stress on the outrigger extension this could have been problematic. When the
SUBLET WORK PRICE j sensor was loosened, it lost contact. Adjusted all four outrigger sensors.
' 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.
XTOTAL LABOR x$1,61'600
NOT RESPONSIBLE �` --'z•RG)TA'L PARTS_e. $2�2s7„6 0
FOR LOSS OR •�;.w r-•7 ,aU ,„,e{ rye+DAMAGE TO TO CARS MILES TRAVEL RATE PRICE
., SUBL•E�TiWORK1 '?`b
OR ARTICLES , [[
LEFT IN CARS IN �� 4�✓ ' tft'-� k
CASE OF FIRE, ,,,y TRAVELEXP, t NO
THEFT OR ANY yy,. rn- m.
OTHER CAUSE a
BEYOND OUR t,""` r ; rYeY?LNrs'''
. SUBLETT�WORK,TOTAL�R coNTROL. TaQTAL TRAFVEL'F,EXF�ENSES, { ? TOTAL.�1r 8430 00
,rescribed 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))
82782_IN L40 Repair $1,843.00
82807-IN Misc. Parts $109.20
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
$1,952.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 82782_IN 43-510.00 $1,843.00 1 hereby certify that the attached invoice(s), or
1120 82807-IN 42-370.00 $109.20 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
FEB ?gf�
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund