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245594 05/20/15 (9, CITY OF CARMEL, INDIANA VENDOR: 353696 ONE CIVIC SQUARE POWER SYSTEMS INC CHECK AMOUNT: S****"**390.91 CARMEL, INDIANA 46032 5700 CASEY DRIVE CHECK NUMBER: 245594 KNOXVILLE TN 37909 CHECK DATE: 05/20/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4239039 8106833 390.91 GENERAL PROGRAM SUPPL 5700 Casey Dr. POWERSYSTEMS, cp,l xville,TN 37909 80 .321.6975 fitness@power-systems.com MAY 201§ 86 .769.8223 8 0.298.2057 fax ---. -. T x ID: 47-2613595 • 1 . : Bill To: Ship To: Carmel Clay Parks And Recreation Carmel Clay Parks And Recreation Accounts Payable 1235 Central Park Dr E 1411 E 116Th St Carmel IN 46032-4421 Carmel IN 46032-7611 United States Sold To: Carmel Clay Parks And Recreation Accounts Payable 1411 E 116Th St Carmel IN 46032-7611 United States Invoice Date: 5/5/2015 PO Number:38420 Terms: Net 30 Terms Ship Via: FedEx Ground Packing Slip:108520 Order Number: 5094194 Ship Date: 5/5/2015 Line Part Description Quantity Retail Price Your Price Ext Price 1 68227 TRX Commercial Suspension Trainer 2 $ 199.95 $ 169.96 $ 339.92 Payment Schedule Sub Total: $ 339.92 Due Date Amount Misc/Shipping: $ 50.99 1 6/4/2015.__ 390.91 Tax: $ 0.00 Total 390.91 Invoice Total: $ 390.91 Amount Paid: $ 0.00 Amount Due: $ 390.91 Power Systems PS, LLC 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 5/5/15 8106833 TRX Strap 38420 $ 390.91 Total $ 390.91 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 5-11-10-1.6 120 Clerk-Treasurer Voucher No. Warrant No. 353696 Power Systems Allowed 20 5700 Casey Drive Knoxville, TN 37909 In Sum of$ $ 390.91 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#or Board Members Dept# INVOICE NO. ACCT#/TITLE AMOUNT 1096-22 8106833 4239039 $ 390.91 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 May 14, 2015 Signature $ 390.91 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund