224923 10/08/2013 CITY OF CARMEL, k401ANA VENDOR: 131135 Page 1 of 1
ONE CIVIC SQUARE HOOSIER FIRE EQUIPMENT INC
CARMEL, INDIANA 46032 4009 MONTDALE PARK DRIVE CHECK AMOUNT: $3,391.05
VALPARAISO IN 46383 CHECK NUMBER: 224923
CHECK DATE: 10/812013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 84921 1, 750 . 00 AUTO REPAIR & MAINTEN
1120 4351000 84935 500 . 00 AUTO REPAIR & MAINTEN
1120 4351000 84977 1, 057 . 00 AUTO REPAIR & MAINTEN
1120 4237000 84980 84 . 05 REPAIR PARTS
****** INVOICE ****** PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0084980-IN
4009 Montdale Park Drive INVOICE DATE : 09/25/13
Valparaiso, Indiana 46383
ORDER NUMBER: 0113481
ORDER DATE: 09/20/13
(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
UNITED PARCEL SHIPPING POINT Net 10
--------------------------------------------------------------------------------
ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT
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/SORDER EACH 1 . 00 1 . 00 0 . 00 74 . 00 74 . 00
#110346 - CLASS ONE PLUG-IN HARNESS FOR ENFO IV
TAXABLE . 00
NON-TAXABLE 74 . 00
NET INVOICE: 74 . 00
SALES TAX: . 00
FREIGHT : 10 . 05
INVOICE TOTAL: 84 . 05
****** INVOICE ****** PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0084935-IN
4009 Montdale Park Drive INVOICE DATE: 09/23/13
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 DESTINATION Net 10
--------------------------------------------------------------------------------
ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT
--------------------------------------------------------------------------------
/SERVICE EACH 1 . 00 1 . 00 0 . 00 250 . 00 250 . 00
PERFORMED ANNUAL PUMP TEST ON CUSTOMER' S 1996 KME
PUMPER SERIAL # 2930
/SERVICE EACH 1 . 00 1 . 00 0 . 00 250 . 00 250 . 00
PEFORMED ANNUAL PUMP TEST ON CUSTOMER' S 2003 ALFCO
75 ' LADDER SERIAL # 0108975
TAXABLE . 00
NON-TAXABLE 500 . 00
NET INVOICE: 500 . 00
SALES TAX: . 00
FREIGHT : . 00
INVOICE TOTAL: 500 . 00
****** INVOICE ****** PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0084977-IN
4009 Montdale Park Drive INVOICE DATE: 09/24/13
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
PICK-UP Net 10
--------------------------------------------------------------------------------
ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT
--------------------------------------------------------------------------------
/SERVICE EACH 1 . 00 1 . 00 0 . 00 1, 057 . 00 1, 057 . 00
PERFORMED ANNUAL PUMP PREVENTATIVE MAINTENANCE AND
REPAIRS ON CUSTOMER' S 1996 KME PUMPER SERIAL #
2931, ENGINE #46 - AS PER ATTACHED
TAXABLE . 00
NON-TAXABLE 1, 057 . 00
NET INVOICE: 1, 057 . 00
SALES TAX: . 00
FREIGHT: . 00
INVOICE TOTAL: 1, 057 . 00
****** INVOICE ****** PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0084921-IN
4009 Montdale Park Drive INVOICE DATE: 09/19/13
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
--------------------------------------------------------------------------------
/SERVICE EACH 1 . 00 1 . 00 0 . 00 250 . 00 250 . 00
PERFORMED ANNUAL PUMP TEST ON CUSTOMER' S 1989
GRUMMAN 102 ' AERIALCAT, SERIAL #18125-AC102,
LADDER #40
/SERVICE EACH 1 . 00 1 . 00 0 . 00 250 . 00 250 . 00
PERFORMED ANNUAL PUMP TEST ON CUSTOMER' S 1995 KME
PUMPER, SERIAL #2670, ENGINE #49
/SERVICE EACH 1 . 00 1 . 00 0 . 00 250 . 00 250 . 00
PERFORMED ANNUAL PUMP TEST ON CUSTOMER' S 1996 KME
PUMPER, SERIAL #2931, ENGINE #46
/SERVICE EACH 1 . 00 1 . 00 0 . 00 250 . 00 250 . 00
PERFORMED ANNUAL PUMP TEST ON CUSTOMER' S 2002 KME
PUMPER, SERIAL #5016, ENGINE #40
/SERVICE EACH 1 . 00 1 . 00 0 . 00 250 . 00 250 . 00
PERFORMED ANNUAL PUMP TEST ON CUSTOMER' S 2003 KME
CONTINUED
****** INVOICE ****** PAGE: 2
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0084921-IN
4009 Montdale Park Drive INVOICE DATE: 09/19/13
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
--------------------------------------------------------------------------------
PUMPER, SERIAL #5340, ENGINE #45
/SERVICE EACH 1 . 00 1 . 00 0 . 00 250 . 00 250 . 00
PERFORMED ANNUAL PUMP TEST ON CUSTOMER' S 2011
SEAGRAVE PUMPER, SERIAL #78G45, ENGINE #41
/SERVICE EACH 1 . 00 1 . 00 0 . 00 250 . 00 250 . 00
PERFORMED ANNUAL PUMP TEST ON CUSTOMER' S 2011
SEAGRAVE PUMPER, SERIAL #78G46, ENGINE #44
TAXABLE . 00
NON-TAXABLE 1, 750 . 00
NET INVOICE : 1, 750 . 00
SALES TAX: . 00
FREIGHT : . 00
INVOICE TOTAL: 1, 750 . 00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hoosier Fire Equipment
IN SUM OF $
4009 Montdale Park Drive
Valparaiso, IN 46383
$3,391.05
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 84935 43-510.00 $500.00 1 hereby certify that the attached invoice(s), or
1120 84921 43-510.00 $1,750.00 bill(s) is (are) true and correct and that the
1120 84977 43-510.00 $1,057.00 materials or services itemized thereon for
1120 84980 42-370.00 $84.05 which charge is made were ordered and
received except
OUT
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
prescribed 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
Nhom, 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))
84935 E43, E42 $500.00
84921 L40, E49, E46, E40, E45, E41, E44 $1,750.00
84977 E46 $1,057.00
84980 $84.05
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