HomeMy WebLinkAbout234557 07/08/14 ��, .. "� CITY OF CARMEL, INDIANA VENDOR: 364209
;2 3. ONE CIVIC SQUARE JOHNSON HEALTH TECH NA INC CHECK AMOUNT: $*******459.21*
_° CARMEL, INDIANA 46032 1600 LANDMARK DRIVE CHECK NUMBER: 234557
°M«oN. .` COTTAGE GROVE WI 53527 CHECK DATE: 07/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4237000 9001457254 459.21 REPAIR PARTS
Johnson Health Tech NA Inc. INVOICE
1600 Landmark Drive Document 9001457254
Cottage Grove,WI 53527
JOHNSON Phone: 608-839-1240 Date 06/17/2014
Fax: 608-839-1260 Page 1 of 1
JUN 23 2014
Bill-To: 33004423 P77 Ship-To: 33004423
Carmel Clay Parks and Recreation Carmel Clay Parks and Recreation
Collene Broderick Shauna Lewallen
1411 E 116th Street 1235 Central Park Dr E
Carmel, IN 46032 Carmel, IN 46032
Comment: CRM User:John Schuepbach;CRM Order#:ORD-790413;Case#:CAS-666884 M8VVW1;CAS-666884-M8VVW1
Shipping Comment:
Purchase Order No. Sales Order No. Sales Person ID Shipping Method Terms Due Date
37192 100876607 GLTM(GreatLakes-TM) UPS GROUND 100%PTS 06/17/2014
LN# Qty. Model Number Item Number Description List Price Net Unit Price Ext.Price
10 3 0000093108 Control Box;TV07 149.85 449.55
20 1 ZMS2000042 Parts Return Form 0.00 0.00
rc �O"e
2 - a nd
Remit To: Discounts 0.00 Freight 9.66
Johnson Health Tech NA Inc. Misc./Duty 0.00 Freight Disc. 0.00
1600 Landmark Drive Other Fees 0.0o Tax 1 0.00
Cottage Grove,WI 53527
Subtotal 449.55 -„459.21;
A Service Charge of 1.5% Per Month
Will Apply To All Delinquent Balances
GHORIZON VVISION FITNESS F I T N E S S
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
364209 Johnson Health Tech NA, Inc. Terms
1600 Landmark Drive
Cottage Grove, WI 53527
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
6/17/14 9001457254 Remote controllers 37192 $ 459.21
Total $ 459.21
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
i
Voucher No. Warrant No.
364209 Johnson Health Tech NA, Inc. Allowed 20
1600 Landmark Drive
Cottage Grove, WI 53527
In Sum of$
$ 459.21
ON ACCOUNT-OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1096-21 9001457254 4237000 $ 459.21 1 hereby certify that the attached invoice(s), or
�I bill(s)is(are)true and correct and that the
(� materials or services itemized thereon for
I
iwhich charge is made were ordered and
received except
3-Jul 2014
Signature
$ 459.21 I Accounts Payable Coordinator
Cost distribution ledger classification if l Title
claim paid motor vehicle highway fund
i