HomeMy WebLinkAbout234581 07/08/14 CITY OF CARMEL, INDIANA VENDOR: 367559
ONE CIVIC SQUARE NATIONAL GYM SUPPLY CHECK AMOUNT: $********17.15*
CARMEL, INDIANA 46032 5500 WEST 83RD STREET CHECK NUMBER: 234581
s9M�UM�` LOS ANGELES CA 90045 CHECK DATE: 07/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4237000 SIB94723 17.15 REPAIR PARTS
t 5500 West 83rd Street SALES INVOICE
Los Angeles,CA 90D45
1-800-496-7278(USA&Canada)
310-410-4200(Worldwide) SI-894723 6/10/2014
i 310-410-4220(Fax)
www.gympart<carn I IIIIII VIII VIII VIII VIII VIII IIII IIII
Customer Contact Ship To
Carmel Clay Parks & Rec
Shauna Lewallen
City of Carmel, Indiana 1235 Central Park Dr. East
1411 E. 116th Street CARMEL IN 46032
CARMEL IN 46032 UNITED STATES
UNITED STATES
Account Terms Due Date Account Rep Schedule Date
42978 NET 30 7/10/2014 Zeb 6/10/2014
Sales Order Ship VIA Reference PO # Page Printed
}{}{-720 6/11/2019
SO-798720 UPS Ground Service
Dawn Via Email 1 7:09:33AM
L Item Description Order Ship Price UM Discount Amount
1CON1517 Foot Strap, 28-3/4", Models D,E (each) 2 2 $3.91 EA $7.82
2 CON1517: Strap used on Model D, Serial
numbers higher than 073106.
3 SH Shipment Shipping Charge 1 1 $9.3324 EA $9.33
4 SH: Additional shipping charge will
apply for Back Orders and/or Drop Ship
parts will apply.
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Tax Details Taxable $0.00
EXEMPT $0.000
Payment Details Total Tax $0.00;
Exempt $17.15'
Total $17.15'
Payment Disc $0.00
Paid $0.00
Balance $17.15
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.
367559 National Gym Supply Terms
5500 West 83rd Street
Los Angeles, CA 90045
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
6/10/14 S1894723 Replacement foot strp )oc720 $ 17.15
Total $ 17.15
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
I
Voucher No. Warrant No. i
367559 National Gym Supply Allowed 20
5500 West 83rd Street
Los Angeles, CA 90045
In Sum of$
I
$ 17.15
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or Board Members
INVOICE NO. ACCT#/TITL AMOUNT
Dept#
1096-21 S1894723 4237000 $ 17.15 I 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
I.
1"
i
I
3-Jul 2014
Signature
$ 17.15 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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