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Home My WebLink About235135 07/22/14 CITY OF CARMEL, INDIANA VENDOR: 364209 ONE CIVIC SQUARE JOHNSON HEALTH TECH NA INC CHECK AMOUNT: $*"*'1,622.07* r CARMEL, INDIANA 46032 1600 LANDMARK DRIVE CHECK NUMBER: 235135 COTTAGE GROVE WI 53527 CHECK DATE: 07/22/14 Iron c�. DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4237000 9001364818 26.99 REPAIR PARTS 1096 4237000 9001453450 54.61 REPAIR PARTS 1096 4237000 9610048754 -45.78 REPAIR PARTS 1096 4237000 9620001215 1,586.25 REPAIR PARTS Johnson Health Tech NA Inc. INVOICE �® 1600 Landmark Drive Document 9001453450 Cottage Grove,WI 53527 JOHNSON Phone: 608-839-1240 Date 06/09/2014 Fax: 608-839-1 Page 1 of 1 LBY: 12 2014 Bill-To: 33004423 Ship-To: 33004423 Carmel Clay Parks and Recreation Carmel Clay Parks and Recreation Collene Broderick Shauna Lewellen 1411 E 116th Street 1235 Central Park Drive E Carmel, IN 46032 Carmel, IN 46032 Comment: CRM User:Crystal Thurmer;CRM Order#:ORD-787539;Case#:CAS-666884 M8VVW1;CAS-666884-M8VVW1 Shipping Comment: Purchase Order No. Sales Order No. Sales Person ID Shipping Method Terms Due Date XX-712 100874520 GLTM(GreatLakes-TM) UPS GROUND Net 30 07/09/2014 LN# Qty. Model Number Item Number Description List Price Net Unit Price Ext.Price 10 3 ZMS3000417 Remote Control;TV; 15.26 45.78 20 1 ZMS2000042 Parts Return Form 0.00 0.00 S 3-11°I'?- jo% q z-�-A) Remit To: Discounts 0.00 Freight 8.83 Johnson Health Tech NA Inc. Misc./Duty 0.00 Freight Disc. 0.00 1600 Landmark Drive Other Fees 0.00 Tax 0.00 Cottage Grove,WI 53527 Subtotal 45.78 Totar(USD 54:61' A Service Charge of 1.5% Per Month Will Apply To All Delinquent Balances Haralzom VVISION M ^. -r IR I X 'y FITNESS F I T N E S S Johnson Health Tech NA Inc. CREDIT MEMO OZ07 1600 Landmark Drive Document 9610048754 Cottage Grove,Wl 53527 JOHNSON Phone: 608-839-1240 Date 07/01/2014 Fax: 608-839-1260 Page 1 of 1 D ?014 Bill-To: 33004423 JUL 1 Ship-To: 33004423 BY- Carmel Clay Parks and Recreation «_.. Carmel Clay Parks and Recreation Collene Broderick Shauna Lewellen 1411 E 116th Street 1235 Central Park Drive E Carmel, IN 46032 Carmel, IN 46032 Comment: 06/30/2014 3:17P Joe Dietz-returning remote controls for credit Shipping Comment: Purchase Order No. Sales Order No. Sales Person ID Shipping Method Terms Due Date XX-712 100874520 GLTM(GreatLakes-TM) UPS GROUND Net 30 07/01/2014 LN# Qty. Model Number Item Number Description List Price Net Unit Price Ext.Price 10 3 ZMS3000417 Remote Control;TV; 15.26 (45.78) a- ---------------- ---- - - -- Remit To: Discounts 0.0o Freight 0.00 Johnson Health Tech NA Inc. Misc./Duty 0.00 Freight Disc. 0.00 1600 Landmark Drive Other Fees 0.00 Tax 0.00 Cottage Grove,WI 53527 Subtotal 45.78 Total,..U,SD 45:78; A Service Charge of 1.5% Per Month Will Apply To All Delinquent Balances M,` HORIZON VISION .i, FITNESS F I T N E S S Johnson Health Tech NA Inc.' INVOICE 1600 Landmark Wl53527 Document 9001364818 Cottage V Q130 H N S®N Phone:69-1240Date�/yJ( Page 01/16/2014 2 Fax:608-839-1260 ***REPRINT*** Bill-To:33004423 Ship-To:33004423 Carmel Clay Parks and Recreation Clay Park and Rec-Carm3-- Collene Broderick 1235 Central Park Dr E ` 1411 E 116th Street Carmel,IN 46032 Carmel,IN 46032 JUN - 5 2014 Comment: CRM User:Amy Rath;CRM Order#:ORD-713360;Case#:CAS-608684-Y39VV1 Shipping Comment: - Purchase Order No. Sales Order No. Sales Person ID Shipping Method Terms Due Date CAS-608684(PO#36533) 100815031 GLIM(GreatLakes-TM) UPS GROUND 100%PTS 01/16/2014 LN# Qty. Model Number Item Number Description List Price Net Unit Price Ext.Price 10 3 MX15-DTV ZMD3002555 TV-15"Matrix Mye 1,495.00 0.00 0.00 Serial Number(s): MDTVAC13111168 MDTVAC13111169 MDTVAC 13111192 20 3 ZMS2000041 RETURN LABEL FOR DEFECTIVE OR 0.00 0.00 UNUSED PAR Comments: ZMD3002555-QUALITY �G5--3�3 oq Ce 21 -413-7 boO f Remit To: Discounts o.00 Freight 26.99 Johnson Health Tech NA Inc. Misc./Duty o.00 Freight Disc. 0.00 1600 Landmark Drive Other Fees o.00 Tax 0.00 Cottage Grove,W1 53527 Subtotal 0.00 Total WSW, 26i99 . A Service Charge of 1.5%Per Month Will Apply To All Delinquent Balances • e�®��®� VVISION FITNESS FITNESS . i Johnson Health Tech NA Inc. DEBIT MEMO 1600 Landmark Drive Document 9620001215 Cottage Grove,WI 53527 JOHNSON Phone:608-839-1240 Date 07/03/2014 Fax:608-839-1260 Page 1 of 1 Bill-To:33004423 Ship-To:33004423 Carmel Clay Parks and Recreation Carmel Clay Parks and Recreation Collene Broderick Collene Broderick - 1411 E 116th Street 1411 E 116th Street t•- - s Carmel,IN 46032 Carmel,IN 46032 JUL - 7 2094 Comment: Order was entered in without part pricing Shipping Comment: Purchase Order No. Sales Order No. Sales Person ID Shipping Method Terms Due Date CAS-608684(PO#36533) 300004498 GLTM(GreatLakes-TM) 100%PTS 07/03/2014 LN# City. Model Number Item Number Description List Price Net Unit Price Ext.Price 10 3 MX15-DTV ZMD3002555 TV-15"Matrix Mye 1,495.00 528.75 1,586.25 Mafiri x 111s Foy' P+M% r Remit To: Discounts 0.00 Freight 0.00 Johnson Health Tech NA Inc. Misc./Duty 0.00 Freight Disc. 0.00 1600 Landmark Drive Other Fees 0.00 Tax 0.00 Cottage Grove,WI 53527 Subtotal 1,586.25 Total USD M=11,500251 A Service Charge of 1.5%Per Month Will Apply To All Delinquent Balances M' HORIZON VVI S I� EON M ^T R 1 X 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 6/9/14 9001453450 Shipping for returned remotes 37192 $ 54.61 7/1/14 9610048754 Credit for return 37192 $ (45.78) 1/16/14 9001364818Shipping for matrix tvs 36533 ' $ — -=26.99 7/3/14 9620001215 Matrix tvs for Fitness 36533 $ 1,586.25 Total $ 1,622.07 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. f 364209 Johnson Health Tech NA, Inc. ( Allowed, 20 1600 Landmark Drive Cottage Grove, WI 53527 i In Sum of$ $ 1,622.07 i ON ACCOUNT OF APPROPRIATION FOR i 109 -Monon Center i I PO#or INVOICE NO. ACCT#/TITLE AMOUNT j. Board Members Dept# l 1096-21 9001453450 4237000 $ 54.61 1 hereby certify that the attached invoice(s), or 1096-21 9610048754 4237000 $ (45.78) bill(s)is(are)true and correct and that the 1096-21 9001364818 4237000 $ 26.99 materials or services itemized thereon for 1096-21 9620001215 4237000 $ 1,586.25 which charge is made were ordered and received except 16-Jul 2014 Signature $ 1,622.07 I� Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund