241715 02/03/2015 A u.CSA"
/;?' ":' CITY OF CARMEL, INDIANA VENDOR: 360856
b ONE CIVIC SQUARE FITNESS FIXX SERVICE INC CHECK AMOUNT: $***...*416.25*
i a CARMEL, INDIANA 46032 10085 ALLISONVILLE ROAD SUITE 205 CHECK NUMBER: 241715
'�„i H P� FISHERS IN 46038 CHECK DATE: 02/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4237000 13438 416.25 REPAIR PARTS
FITNESS , Fixx Invoice
10085 Adlisonville Rd Suite 205
Fishers, IN 46038 JJ A NN 26 2015
(317) 435-3646 01/22/15 13438
[BYR:
Bill To:
hi1P To
Carmel Clay Parks and Recreation Monon Center
1411 E. 116th Street 1235 Central Park Drive East
Carmel, IN 46032 Carmel, IN 46032
-
P.O. Number Teems, Due Date
37863 Net 30 02,121115
Description Quantity Rate Amount
General Labor charge for 2 technician with PM discount applied 4.5 85.00 382.50
Trip Charge(Round Trip) P.M. Discount 1 0.75 45.00 33.75
4,16.25.:
;total'.."
PO
Technician: ;2_)
FITNESS fixx�j Service Ticket#
ourrvicf"I""MIR f
Payment Meth
10085 Allisonville Road,Ste 205
Fishers,IN 46038 _Warranty To Be Billed
P-(317)435-3646 IF-(317)579-0653 —Contract Cash
—Prepaid Check
W-www.fitnessfixx.net/E-service@fitnessfixx.net
—New Customer Charge
Bill TO
Customer Contact
Phone
Address ty C State zip
Manufacturerimodel
Serial#.
Service Call#1
Service Call#2
1A.5
Service Required I Trouble Reported
J
'Actual Failure&Service Performa � Ze
W-A -(\ee�
7-1
men=
Signatures below indicate that the above work has been performed to the customer's sat
isfacrion,that flie parts listed were Parts Total
replaced,and that the equipment has been left in good working condition(except as noted). Customers agree to pay all tt Service Call Fee
charges not covered by manufacturer or dealer's warranties.All units with noted and or known issues should be placed Technical Service O$9S-1hr
out-of-order. Fitness Flxx Service,Inc.nor its employees can be hold responsible for any accidents,injurioso,
failures Travel % hrs.@$ 1hr
related to equipment or services performed.
Sales Tax
Service Technician Date
,Custorner pproval Date
White-Billing,Yellow-Customer,
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.
360856 Fitness Fixx Services, Inc. Terms
10085 Allisonville Rd, Suite 205
Fishers, IN 46038
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1/22/15 13438 Fitness equipment repairs 37863 $ 416.25
Total $ 416.25
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. _—
360856 Fitness Fixx Services, Inc.
Allowed 20
10085 Allisonville Rd, Suite 205
Fishers, IN 46038 In Sum of$
$ 416.25
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
Dept.#
1096-21 13438 4237000 $ 416.25 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 29, 2015
U -
$ 416.25 Accounts Payable Coordinator
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund