HomeMy WebLinkAbout240724 01/07/15 *F CITY OF CARMEL, INDIANA VENDOR: 364209
ONE CIVIC SQUARE JOHNSON HEALTH TECH NA INC CHECK AMOUNT: $*******161.76*
CARMEL, INDIANA 46032 1600 LANDMARK DRIVE CHECK NUMBER: 240724
COTTAGE GROVE WI 53527 CHECK DATE: 01/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4237000 9001546850 161.76 REPAIR PARTS
Johnson Health Tech NA Inc. INVOICE
/, 1600 Landmark Drive Document 9001546850
'doCottage Grove,WI,53527
JOHNSON Phone: 608-839-1240 Date 12/08/2014
Fax: 608-839-1260 Page 1 of 1
Bill-To: 33004423 DEC 12 2014 Ship-To: 33004423
Carmel Clay Parks and Recreation �Y'-- __-- Carmel Clay Parks and Recreation
Collene Broderick Collene Broderick
1411 E 116th Street Shauna
Carmel, IN 46032 1235 Central Park Dr E
Carmel, IN 46032
Comment: CRM User:John Schuepbach;CRM Order#:ORD-854994;Case#:CAS-720043 Z7H8C5;CAS-720043-Z7H8C5
Shipping Comment:
Purchase Order No. Sales Order No. Sales Person ID Shipping Method Terms Due Date
XX-1466 100928240 GLTM(GreatLakes-TM) UPS GROUND Net 30 01/07/2015
LN# Qty. Model Number Item Number Description List Price Net Unit Price Ext.Price
10 6 0000093285 Digital Dispatch Roll Wire;800L;RJ45;TV0 26.96 161.76
20 1 ZMS2000042 Parts Return Form 0.00 0.00
5 U �, 5
Remit To: Tracking/Pro#: Discounts 0.00 Frei ht 0.00
Johnson Health Tech NA Inc. 1Z6783A80356199650 Misc./Duty 0.00 Freight Disc. 0.00
27829 Network Place Other Fees 0.00 Tax 0.00
Chicago, IL 60673-1278 '
Subtotal 161.76 Totah USD >- a= ":x.161:76
A Service Charge of 1.5% Per Month
Will Apply To All Delinquent Balances
HORIZON VVISION M /.OT M I X
FITNESS
0 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
12/8/14 9001546850 Cat 5 Cable for Cardio equipment tvs
xx1466 $ 161.76
Total $ 161.76
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.
364209 Johnson Health Tech NA, Inc. Allowed 20
1600 Landmark Drive
Cottage Grove, WI 53527
In Sum of$
$ 161.76
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or Board Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
1096-21 9001546850 4237000 $ 161.76 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
January 2, 2015
Signature
$ 161.76 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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