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HomeMy WebLinkAbout238164 10/15/2014 %' \ CITY OF CARMEL, INDIANA VENDOR: 367559 ONE CIVIC SQUARE NATIONAL GYM SUPPLY CHECK AMOUNT: $********89.35* ,. //�� CARMEL, INDIANA 46032 5500 WEST 83RD STREET CHECK NUMBER: 238164 9.j�,..,_/'' LOS ANGELES CA 90045 CHECK DATE: 10/15/14 �rpN cp' DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4239039 SI8136389 89.35 GENERAL PROGRAM SUPPL ` 5500 west 83 rd Stilet SALES INVOICE Los Angeles,CA 90045 1-500-496-7278(USA&Canada) 310-410-4200(Worldwide) SI-8136389 9/30/2014 310-410-4220(Fax.) %FWW.g„rnpart,C0M 1111111111 IN 1111 Customer Contact Ship To Carmel Clay Parks & Rec Mary Evans City of Carmel, Indiana Fj.. 1235 Central Park Dr. East 1411 $. 116th Street p i CARMEL IN 46Q32 CARMEL IN 46032 D C T — 6 2014 UNITED STATES UNITED STATES BY: Account Terms Due Date Account Rep Schedule Date 42978 NET 30 10/30/2014 Julio Diaz 97*307'201 Sales Order Ship VIA Reference PO # Page Printed XX-1183 10/1/2014 SO-7136690 UPS Ground Service Emailed 1 6:58:14AM L Item Description Order Ship Price UM Discount Amount 1SP57880 Pedal straps (pair) 20 20 $4.00 EA $80.00 2 SP57880: Used on Models: Most Spinner Bikes. 3 S Shipment Shipping Charge 1 1 $9.3526 EA $9.35 4 SH: Additional shipping charge will apply for Back Orders and/or Drop Ship parts will apply. I©G�o0(36 Tax Details Taxable $0.00 EXEMPT $0.000 Payment Details Total Tax $0.00 Exempt $89.35 Total $89.35 Payment Disc $0.00 Paid $0.00 Balance $89.35 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 9/30114 S18136389 Cycle pedal straps xx1183 $ 89.35 Total $ 89.35 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$ $ 89.35 �1 1 ON ACCOUNT OF APPROPRIATION FOR I' 109 -Monon Center PO#or Board Members Dept# INVOICE NO. ACCT#/TITLE AMOUNT 1096-22 S18136389 4239039 $ 89.35 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 I received except 1 I i 9-Oct 2014 Signature $ 89.35 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund