234788 07/16/14 `y CITY OF CARMEL, INDIANA VENDOR: 362614
s ONE CIVIC SQUARE BGI FITNESS CHECK AMOUNT: $********69.99*
s. ?� CARMEL, INDIANA 46032 4340 EAST 82ND ST CHECK NUMBER: 234788
9Miiorv.i�` INDIANAPOLIS IN 46250 CHECK DATE: 07/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 411096 69.99 REPAIR PARTS
BGI Fitness
Work Order#: 117656
BGI Fitness
4340 East 82nd Street
Indianapolis, IN 46250 INVOICEM 411096
Billing Issues: Contact Lavina Kautz Account#: 000100024799
Voice=317-579-7920 x570 Page: 1 of 1
Fax=317-577-0264 Date: 7/1/2014
Time: 3:26:48 PM
Cashier: LK
Register#: 1012
Reference: BWO/Officer Mike Pittman
Comment: Cannondale Police Bike
Bill To: Carmel Police Department Ship To: Carmel Police Department
Carmel Police Department Carmel Police Department
3 Civic Sq 3 Civic Sq
Carmel, IN 46032-2584 Carmel, IN 46032-2584
317-571-2533
Alt=317-409-5866-Mike Pitman
Rep Item Lookup Code Descnption__... :. _.:. Quanfi_ty _...: r__ _Pace Extended;
� ._.�
EW1 Cl EW Ck In by Evan West 1 $0.00 $0.00
7-1-14
Officer Mike Pittman
EW1 DS2C Adjust Rear Der w/minor repair 1 $19.99 $19.99
Adjust rear derailleur with minor hanger
repair. Includes minor repair or
replacement of hanger and adjustment.
Does not include parts
EW1 15925 15 25.00 BIC RPLMNT PART 2 $25.00 $50.00
derailuer hanger
EW1 WD EW Wk Done by Evan West 1 $0.00 $0.00
replaced hanger and derailuer and
adjusted. EW1 7-1-14
LK 99900 Thanks for Your Business!I 1 $0.00 $0.00
Lavina Kautz
.. 5. ......e.... K.M. .�..... . .... ..._..T.... .„a...a-..+..........Y_._ F..u..F,....4............'ue........ . ..........._.._...........� �...._�.�,,,....,.,........o...................»..� ...�....._.:_..............._
Thanks for choosing BGI. Sub Total $69.99
Billing:317.842.4140 x570 Sales Tax $0.00
Service: 317.579.7933 Total $69.99
www.bgifitness.com
infon@bgindy.com
I IIIIII VIII VIII VIII VIII VIII IIII IIII
411096
VOUCHER NO. WARRANT NO.
ALLOWED 20
BGI Fitness
4340 East 42nd Street IN SUM OF$
I
Indianapolis, IN 46250
$69.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept.1 INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 411096 -370.00 $69.99
1 hereby certify that the attached invoice(s), or
42 ,
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
Tuesday, July 08, 2014
,�Z Chief of Police
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
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))
07/01/14 411096 bicycle repair parts $69.99
i
I 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