HomeMy WebLinkAbout241823 02/03/15 Q
CITY OF CARMEL, INDIANA VENDOR: 368619
ONE CIVIC SQUARE POUND ROCKOUT WORKOUT LLC CHECKAMOUNT: $*******250.00*
CARMEL, INDIANA 46032 555 ROSE AVE SUITE 1 CHECK NUMBER: 241823
VENICE CA 90291 CHECK DATE: 02/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 1410114 250.00 GENERAL PROGRAM SUPPL
Pound Rockout Workout, LLC
Pound Rockout Workout,LLC Invoice
555 Rose Ave
Suite 1 Date Invoice No.
Venice,CA 90291 12/03/2014 1410-114
(888)281-8505 Terms Due Date
billing@poundfit.com
http://www.poundfit.com Net 30 01/02/2015
Rog .WORKOUT,
BiII To
T�T)
Dawn Koepper
Carmel Clay Parks SAN 2 2Q1.5
8504 Bravestone Way I
Indianapolis,IN 46239 f
S
Amount Due Enclosed
$250.00
Please detach top portion and return with your payment_
-------------- ----------- --------------------------------------------
Actiuity Quantity Rate Amount
•Rock Club Package 1 250.00 250.00T
15 Sets of Ripstix
Please remit to this address: SubTotal $250.00
555 Rose Ave
Suite I Tax(0%) $0.00
Venice,CA 90291 Total' $250.00
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.
368619 Pound Rockout Workout, LLC Terms
555 Rose Ave., Suite 1
Venice, CA 90291
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
12/3/14 1410114 Pound ripstix _ 37848 $ 250.00
Total $ 250.00
I hereby certify that the attached invoice(s),or bili(s)is(are)true and correct and I have audited same in accordance
with I C 5-11-10-1.6
- 120—
Clerk-Treasurer
Voucher No. Warrant No.
368619 Pound Rockout Workout, LLC Allowed 20
555 Rose Ave., Suite 1
Venice, CA 90291
In Sum of$
$ 250.00
II
ON ACCOUNT OF APPROPRIATION FOR i
109 :Monon CenterPO#or
I
i
Dept
INVOICE NO. CCT#/TITL AMOUNT Board Members
Dept# �
1096-22 1410114 4239039 $ 250.00 1 hereby certify that the attached invoice(s), or
i• 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
f
i
January 29, 2015
Signature
$ 250.00 Accounts Payable Coordinator
Cost distribution ledger classification if ! Title
claim paid motor vehicle highway fund ,
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