HomeMy WebLinkAbout237475 09/23/14 1��.,C,;IN,yF!
CITY OF CARMEL, INDIANA VENDOR: 367559
ONE CIVIC SQUARE NATIONAL GYM SUPPLY CHECK AMOUNT: $********47.53*
:� CARMEL, INDIANA 46032 5500 WEST 83RD STREET CHECK NUMBER: 237475
+Mdr6N.fi�,:, LOS ANGELES CA 90045 CHECK DATE: 09/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4237000 S18132322 47.53 REPAIR PARTS
5500 West 83rd Street SALES INVOICE
Los Angeles,CA 90045
1-800-496-7278(USA 8&Canada)
310.410-4200(Worldw de) SI-8132322 9/3/2014
310-410-4220(Fax)
wwiv.gympa(rt.com I IIIIII VIII VIII VIII VIII VIII VIII IIII IIII
Customer Contact Ship To
Carmel Clay Parks & Rec
_ Shauna Lewallen
City of Carmel, Indiana r `>> , 1235 Central Park Dr. East
1411 E. 116th Street � CARMEL IN 46032
CARMEL IN 46p32 SEP -9 2014 UNITED STATES
UNITED STATES
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Account Terms Due Date Account Rep Schedule Date
42978 NET 30 10/3/2014 Marvin Gil 9/2/2014
Sales Order Ship VIA Reference PO # Page Printed
UPS Ground Service i wn Koe XX-1092 9/4/2014
SO-7132462 a pper vi, 1 6:51:93AM
L Item Description Order Ship Price UM Discount Amount
1CON1517 Foot Strap, 28-3/411, Models D,E (each) 10 10 $3.91 EA $39.10
2 CON1517: Strap used on Model D, Serial
numbers higher than 073106.
3 SH Shipment Shipping Charge 1 1 $8.4335 EA $8.43
4 SH: Additional shipping charge will
apply for Back Orders and/or Drop Ship
parts will apply.
601
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Tax Details Taxable $0.00
EXEMPT $0.000
Payment Details Total Tax $0.00
Exempt $47.53
Total $47.53
Payment Disc $0.00
Paid $0.00
Balance $47.53
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
9/3/14 S181-32322 Replacement foot strap for rower xx1092 $ 47.53
Total $ 47.53
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
Voucher No. Warrant No.
367559 National Gym Supply Allowed 20
5500 West 83rd Street
Los Angeles, CA 90045
In Sum of$
$ 47.53 i
I
I
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or Board Members
De t# INVOICE NO. CCT#/TITL AMOUNT
P
1096-21 S18132322 4237000 $ 47.53 i 1 hereby certify that the attached invoice(s), or
i bill(s)is(are)true and correct and that the
I
materials or services itemized thereon for
which charge is made were ordered and
received except
f
18-Sep 2014
I
Signature
$ 47.53 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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