HomeMy WebLinkAbout32886 Bob Block FitnessCi
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-- 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
36
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED '
REQUISITION NO.
VENDOR NO.
DESCRIPTION
5/15/2015
Bob Block Fitness Equipment
VENDOR
6120 Casitioway Court West
Indianapolis, IN 46250.
SHIP
TO
Car>rnol Police Department
3 Civic Square
Cannel, IN 46032
(317) 571
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION. '
Account 43.421.00
1 Each (ping charges
Account 40.00
1 Each Siam Sall
1 Each Slam Ball 101bs
1 Each Slam Ball 15Ibs
1 Each Club Step (4 adjustable risers)
1 each KettleBeli Set 20.451bs b41'5)(8 Kb2li
1 Each Battle Rope �Y1 2
2 Each Fiat / Incline Utility Ben h lntell3eil
1 Each seated leg eutension / leg -curl
1 Each Treadmill
Send Invoice To:
Cannel Police Department
Attn: Pat Young
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$385.00
Sub Total:
$53.00
$35.00
$45.00
$88.00
$292.50
$130.00
$190.00
$2,150.00
$4,300.00
Sub Total:
$385.00
$385.00
$53.00
$35.00
$45.00
$88.00
$292.50
$130.00
$380.00
$2,150.00
$4,300.00
$7,453.50
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
Carmel Police Dept. Cg
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 32886
ORDERED BY
TITLE
CLERK- TREASURER
OFFICE COPY
1'
PAYMENT
AMOUNT
$7,1.50
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
I HEREBY CERTIFY THA THERE IS AN UNOBLIGATEP BALANCE IN
THIS APPROPRIATIQN SUFFICIENT TO PAY FOR THE ABOVE ORDER.
aA/i /119
log oP Police