HomeMy WebLinkAbout226999 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 131135 Page 1 of 1
ONE CIVIC SQUARE HOOSIER FIRE EQUIPMENT INC
0 CHECK AMOUNT: $643.00
CARMEL, INDIANA 46032 4009 MONTDALE PARK DRIVE
VALPARAISO IN 46383 CHECK NUMBER: 226999
CHECK DATE: 12/1112013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 85586 643 . 00 AUTO REPAIR & MAINTEN
****** INVOICE ****** PAGE: 1
Hoosier Fire Equipment, Inc. INVOICE NUMBER: 0085586-IN
4009 Montdale Park Drive INVOICE DATE: 12/04/13
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 DESTINATION Net 10
--------------------------------------------------------------------------------
ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT
--------------------------------------------------------------------------------
/SERVICE EACH 1 . 00 1 . 00 0 . 00 643 . 00 643 . 00
REPAIR ON CUSTOMER' S 1996 KME PUMPER SERIAL # 2931
- AS PER ATTACHED-
TAXABLE . 00
NON-TAXABLE 643 . 00
NET INVOICE: 643 . 00
SALES TAX: . 00
FREIGHT : . 00
INVOICE TOTAL: 643 . 00
❑ HOOSIER FIRE EQUIPMENT, INC. ❑ HOOSIER FIRE EQUIPMENT, INC.
`PART NO. AND70R DESCRIPTION PRICE 4009 Montdale Park Drive 3863 North Commercial Parkway
1 #9147-3"Valve Repair Kit $ 195.00 Valparaiso, IN 46383 Greenfield, IN 46140
1 #80427- 1-1/2"Valve Repair Kit $ 68.00 Phone: 219-462-1707 Phone: 317-891-8375
Toll Free: 800-552-2691 Toll Free: 888-436-6075
REPAIR ORDER
NAME: Carmel Fire Department RECEIVED: 11/26/2013 DATE: 11/26/2013
CUSTOMER
ADDRESS: Two CIVIC Square PROMISED: ORDER# 058492
CITY: Carmel, Indiana 46032 TERMS: MECHANIC: MS
PHONE: Bob Van Voorst cell 317-664-0958
MAKE: MODEL: YR. SERIAL NO. UNIT MILEAGE AR a
KME Pumper 1996 2931 Engine 46 104,227 6682
LABOR- LABOR
REPAIR ORDER,INSTRUCTIONS.
HOURS' ' CHARGE
Removed and Rebuilt#4 Discharge Valve and Booster Line Valve $ 380.00
ADDITIONAL PARTS SEE LIST ON BACK -a+
PARTS TOTAL ,$ 263!00„
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: $. 380.00
TOTAL PARTS: $ 263:00
NOT RESPONSIBLE FOR MILES TRAVEL RATE PRICE SUBLET WORK:
LOSS OR DAMAGE TO - TRAVEL EXP.
CARS OR ARTICLES
LEFT IN CARS IN CASE
c+ OF FIRE,THEFT OR ANY T '
-SUBLET WORK 70TAL OTHER CAUSE BEYOND
• 3 • OUR CONTROL. TOTAL TRAVEL•EXPENSES: TOTAL $, 643.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hoosier Fire Equipment
IN SUM OF $
4009 Montdale Park Drive
Valparaiso, IN 46383
$643.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 85586 I 43-510.00 I $643.00 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
DEC - 9 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
rescribed by State Board of Accounts City Form No.201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
kn invoice or bill to be property 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))
85586 E46 $643.00
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