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CITY OF CARMEL, INDIANA VENDOR: 353696
® it ONE CIVIC SQUARE POWER SYSTEMS INC CHECK AMOUNT: $*******194.56*
CARMEL, INDIANA 46032 5700 CASEY DRIVE CHECK NUMBER: 241 122
vy�.`�oN��` KNOXVILLE TN 37909 CHECK DATE: 01/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 8073446 194.56 GENERAL PROGRAM SUPPL
r
5700 Casey Dr.
Knoxville,TN 37909
800.321.6975
fitness@power-systems.com 865.769.8223
800.298.2057 fax
Tax ID:58-1501009
o : 0 JKV
•
Bill To:- Ship To:
Carmel Clay Parks And Recreation Receiving
Accounts Payable _ �-.��IrN r Carmel Clay Parks And Recreation
1411 E 116Th St - 1411 E 116th St
Carmel IN 46032-7611 Carmel IN 46032-3455
DEC 1:9 201
�'Y;- Sold To:
- mel-Clay Parks_And Recreation- -
=-- Car
_ Accounts Payable` -
1411 E 116Th St
Carmel IN 46032-7611
United States
Invoice Date: 12/19/2014
PO Number:XX-1534 . Terms: Net 30 Terms Ship Via: FedEx Ground
Packing Slip:75020 Order Number: 5062998 Ship'Date: 12/19/2014
Line Part.. Description -Quantity Retail Price Your Price Ext'Price
.1 83370 - Yoga Block 4 in. - Purple 5 $-12.95 $ 11.01 $-55.05
2 83360 Yoga Block 3 in. - Blue 5 $ 10.95 $ 9.31 $ 46.55
3 83410 Yoga Strap 6 ft. - Blue 5 .$ 7.9.5 $ 6.76 $ 33.80
4 83405 Yoga Strap 6 ft. - Purple. 5 $ 7.95 $ 6.76 $ 33.80
p1(OC AI�(1/i
rPayrnntSchetlule Sub Total: $ 169.20
'£Due nate. AMS bunt;j' Misc/Shipping: $ 25.36
1 1/18/2015 194.56 Tax: $ 0.00
Total 194.56 _ Invoice Total: $ 194;56
Amount Paid: $ 0:00
Amount Due: $ 194.56
Power Systems, Inc. 5700 Casey Drive Knoxville TN 37909 powersystems.com 865.769.8223
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.
353696 Power Systems Terms
5700 Casey Drive
Knoxville, TN 37909
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
12/19/14 8073446 Fitness program equipment xx1534 $ 194.56
Total $ 194.56
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.
353696 Power Systems Allowed 20
5700 Casey Drive
Knoxville, TN 37909
In Sum of$
ti
I
$ 194.56
ON ACCOUNT OF APPROPRIATION FOR I.
109 -Monon Center
i
PO#orBoard Members
INVOICE NO. ACCT#/TITLE AMOUNT 1
Dept#
1096-22 8073446 4239039 $ 194.56 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 8, 2015
Signature
$ 194.56 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund