241824 02/03/2015 ,y p1.Coq*f
Jr .s CITY OF CARMEL, INDIANA VENDOR: 353696
} ONE CIVIC SQUARE POWER SYSTEMS INC CHECK AMOUNT: $"`****285.15`
0
CARMEL, INDIANA 46032 5700 CASEY DRIVE CHECK NUMBER: 241824
KNOXVILLE TN 37909 CHECK DATE: 02/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 8079941 285.15 GENERAL PROGRAM SUPPL
5700 Casey"Dr.
SYST-EM' S_ -- - - —= -.
Knoxville,TN 37909 -
800.321.6975
fitness@power-systems.com 865.769.8223
800.298.2057 fax
Tax ID:47-2613595
0
0
Bill To: Ship To:,
Carmel Clay Parks And Recreation Mary Evans
Accounts Payable Carmel Clay Parks And Recreation
1411 E 116Th St 1235 Central Park Dr E
Carmel IN 46032-7611Carmel IN 46032-4421
JAN 2,6 2015 Sold To:
Carmel Clay Parks-And Recreation
BY: Accounts Payable
1411 E116ThSt _ -
Carmel IN 46032-7611
United States
Invoice Date: 1/20/2015
PO Number:37972 Terms:-Net 30 Terms Ship Via: FedEx Ground
Packing Slip:81551 Order Number: 5069063 Ship.Date: 1/20/2015
Line Part Description Quantity Retail Price Your Price Ext Price
1 61515 Rubber Octagonal Dumbbell 15 Ib. 3 $ 23.95 $ 20.36 $ 61.08
2 68190 TRX X-Mount 4 $ 34.95 $ 31.45 $ 125.80
3 61515 Rubber Octagonal Dumbbell 15 Ib. 3 $ 23.95 $ 20.36 $ 61.08
�avmenfSchedule Sub Total: $ 247.96
r t?ue..Date Misc/Shipping: $ 37.19
1 2/19/2015 285.15€ Tax: $ 0.00
Total 285.15 Invoice Total: $ 285.15
Amount Paid $ 0.00
Amount Due: $285.15
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
1/20/15 8079941 Fitness program equipment 37972 $ 285.15
Total $ 285.15
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.
353696 Power Systems Allowed 20
5700 Casey Drive
Knoxville, TN 37909
In Sum of$
i
$ 285.15
1
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
I
Po#or INVOICE No. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-22 8079941 4239039 $ 285.1 1 hereby certify that the attached invoice(s), or
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
January 29, 2015
I.
i
Signature
$ 285.15 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
_ I