242596 02/24/15 CITY OF CARMEL, INDIANA VENDOR: 353696
ONE CIVIC SQUARE POWER SYSTEMS INC CHECK AMOUNT: $*******650.68*
CARMEL, INDIANA 46032 5700 CASEY DRIVE CHECK NUMBER: 242596
N cry KNOXVILLE TN 37909 CHECK DATE: 02/24/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 8085638 378.82 GENERAL PROGRAM SUPPL
1096 4239039 8086479 271.86 GENERAL PROGRAM SUPPL
5700 Casey Dr.
POWERSYSTEMS Knoxville, TN 37909
800.321.6975
fitness@power-systems.com 865.769.8223
800.298.2057 fax
Tax ID: 47-2613595
s '
Bill To: Ship To:
Isom=
Carmel Clay Parks And Recreation Dawn Koepper
Accounts Payable Carmel Clay Parks And Recreation
1411 E 116Th St Accounts Payable
Carmel IN 46032-7611 rRf, J T-NT 1411 E 116Th St
Carmel IN 46032-7611
B 17 2015 Sold To:
Carmel Clay Parks And Recreation
Accounts Payable
1411 E 116Th St
Carmel IN 46032-7611
United States
Invoice Date:2/10/2015
PO Number:38060 Terms: Net 30 Terms Ship Via: FedEx Ground
Packing Slip:87063 Order Number: 5074475 Ship Date: 2/10/2015
Line Part Description Quantity Retail Price Your Price Ext Price
1 83370 Yoga Block 4 in. - Purple 10 $ 12.95 $ 11.65 $ 116.50
2 83350 Yoga Block 3 in. - Purple 10 $ 10.95 $ 9.85 $ 98.50
3 83405 Yoga Strap 6 ft. - Purple 8 $ 7.95 $ 7.15 $ 57.20
4 83410 Yoga Strap 6 ft. - Blue 8 $ 7.95 $ 7.15 $ 57.20
Payment Schedule Sub Total: $ 329.40
Due Date_ Amount MisclShipping: $ 49.42
1 3/12/2015 378.82 Tax: $ 0.00
Total 378.82 Invoice Total: $ 378.82
Amount Paid: $ 0.00
Amount Due: $ 378.82
Power Systems, Inc. 5700 Casey Drive Knoxville TN 37909 powersystems.com 865.769.8223
j5700 Casey Dr.
POWERSYSTEM , 'Knoxville, TN 37909
FEB 1 7 2015 800.321.6975
fitness@power-systems.com865.769.8223
��'_ _ 1800.298.2057 fax
Tax ID: 47-2613595
• : 1 : .
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 46032-7611 Carmel IN 46032-4421
Sold To:
Carmel Clay Parks And Recreation
Accounts Payable
1411 E 116Th St
Carmel IN 46032-7611
United States
Invoice Date: 2/12/2015
PO Number:38070 Terms: Net 30 Terms Ship Via: FedEx Ground
Packing Slip:87743 Order Number: 5074978 Ship Date: 2/12/2015
Line Part Description Quantity Retail Price Your Price Ext Price
1 61705 Deluxe Vinyl Coated Dumbbell 5 Ib. 40 $ 6.95 $ 5.91 $ 236.40
` I
PaymentSchedule _ Sub Total. $ 236.40
Due Date;•--- Amount Misc/Shipping: $ 35.46
1 3/14/2015 271.86; Tax: $ 0.00
Total 271.861 Invoice Total: $ 271.86
---- ----� Amount Paid: $ 0.00
Amount Due: $ 271.86
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
2/10/15 8085638 Yoga blocks and straps 38060 $ 378.82
2/12/15 8086479 Handheld weights 38070 $ 271.86
Total $ 650.68
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
120_
Clerk-Treasurer
Voucher No. Warrant No.
353696 Power Systems Allowed 20
5700 Casey Drive
Knoxville, TN 37909
In Sum of$
$ 650.68
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-22 8085638 4239039 $ 378.82 1 hereby certify that the attached invoice(s), or
1096-22 8086479 4239039 $ 271.86 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
February 19, 2015
Signature
$ 650.68 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund '
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