223969 09/10/2013 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: $238.00
VALPARAISO IN 46383
CHECK NUMBER: 223969
CHECK DATE: 9/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 84668 146 . 00 REPAIR PARTS
1120 4237000 84769 92 . 00 REPAIR PARTS
****** INVOICE ****** PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0084769-IN
4009 Montdale Park Drive INVOICE DATE: 09/04/13
Valparaiso, Indiana 46383
ORDER NUMBER: 0113305
ORDER DATE: 08/20/13
(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 SHIPPNG POINT Net 10
--------------------------------------------------------------------------------
ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT
--------------------------------------------------------------------------------
/SORDER EACH 4 . 00 4 . 00 0 . 00 6 . 75 27 . 00
#P3424333 - SEAGRAVE BEZEL, OVAL I . C.
/SORDER EACH 4 . 00 4 . 00 0 . 00 7 . 00 28 . 00
#P3425545-01 - SEAGRAVE NAMEPLATE KIT, "DRIVER
SIDE SUCTION" , BURGUNDY (#16) , W/ WHITE
LETTERING"
/SORDER EACH 4 . 00 4 . 00 0 . 00 7 . 00 28 . 00
#P3425545-01 - SEAGRAVE NAMEPLATE KIT, "OFFICER
SIDE SUCTION", BURGUNDY (#16) , W/WHITE
LETTERING"
TAXABLE . 00
NON-TAXABLE 83 . 00
NET INVOICE: 83 . 00
SALES TAX: . 00
FREIGHT : 9 . 00
INVOICE TOTAL: 92 . 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))
84769 $92.00
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
$92.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#!TITLE I AMOUNT Board Members
1120 I 84769 I 42-370.00 I $92.00 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
SEP.-.9 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
****** INVOICE ****** PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0084668-IN
4009 Montdale Park Drive INVOICE DATE : 08/26/13
Valparaiso, Indiana 46383
ORDER NUMBER:
ORDER DATE:
(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
OUR DELIVERY DESTINATION Net 10
--------------------------------------------------------------------------------
ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT
--------------------------------------------------------------------------------
/SERVICE EACH 1 . 00 1 . 00 0 . 00 146 . 00 146. 00
FRC #RJU-1 THROTTLE CONTROL S/N 406280696
TAXABLE . 00
NON-TAXABLE 146. 00
NET INVOICE: 146. 00
SALES TAX: . 00
FREIGHT: . 00
INVOICE TOTAL: 146. 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))
84668 Throttle Control $146.00
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
$146.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 84668 I 42-370.00 I $146.00 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
SEP 7 9 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund