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244051 04/08/15 q; CITY OF CARMEL, INDIANA VENDOR: 353696 ® i ONE CIVIC SQUARE POWER SYSTEMS INC CHECK AMOUNT: $'*.....279.19* CARMEL, INDIANA 46032 5700 CASEY DRIVE CHECK NUMBER: 244051 �M,�roN.�.? KNOXVILLE TN 37909 CHECK DATE: 04/08/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4239039 8097439 279.19 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: Carmel Clay Parks And Recreation Mary Evans Accounts Payable Carmel Clay Parks And Recreation 1411 E 116Th St1235 Central Park Dr E Carmel IN 46032-7611 ' . � Carmel IN 46032-4421 MAR q 2015 Sold To: Carmel Clay Parks And Recreation Accounts Payable 1411 E 116Th St Carmel IN 46032-7611 United States I o� a Date: 3/26/2015 PO Number:3825 Terms: Net 30 Terms Ship Via: FedEx Ground Packing S i 264 Order Number: 5085541 Ship Date: 3/26/2015 Line Part Description Quantity Retail Price Your Price Ext Price 1 25430 MEGA Slam Ball 10 Ib. 4 $ 31.95 $ 27.16 $ 108.64 2 25432 MEGA Slam Ball 15 Ib. 2 $ 36.95 $ 31.41 $ 62.82 3 25434 MEGA Slam Ball 20 Ib. 2 $ 41.95 $ 35.66 $ 71.32 ymentSchedule Sub Total: $ 242.78 Due Date Amount; Misc/Shipping: $ 36.41 ._- 1 4/25/2015 279.19 Tax: $ 0.00 Total 279.19. Invoice Total: $ 279.19 -- --- - Amount Paid: $ 0.00 Amount Due: $ 279.19 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 3/26/15 8097439 Fitness equipment 38252 $ 279.19 Total $ 279.19 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_$ $ 279.19 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#orBoard Members Dept# INVOICE NO. ACCT#/TITLE AMOUNT 1096-22 8097439 4239039 $ 279.19 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 April 2, 2015 Y" Signature $ 279.19. Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund