245957 06/03/15 v'% "\`. CITY OF CARMEL, INDIANA VENDOR: 353696
I; , ONE CIVIC SQUARE POWER SYSTEMS INC CHECK AMOUNT: $*******391.23*
�� ?� CARMEL, INDIANA 46032 5700 CASEY DRIVE CHECK NUMBER: 245957
M7TON�. KNOXVILLE TN 37909 CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4350000 8110075 391.23 EQUIPMENT REPAIRS & M
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
lnvoice:8110075INVOICE • of
Customer: '
Bill To: Ship To:
Carmel Clay Parks.And Recreation Mary Evans
Accounts Payable Monon Community Center
1411 E 116Th St 1235 Central Park Dr E
Carmel IN 46032-7611 Carmel IN 46032-4421
United States
�If Sold To:
Carmel Clay Parks And Recreation
MAY 2 2 2015 Accounts Payable
--—-- —6_T_h-St -
Carmel IN 46032-7611
- _- United States
Invoice Date:5/18/2015
PO Number:38532 Terms: Net 30 Terms Ship Via: FedEx Ground
Packing Slip:111825 Order Number: 5097237 Ship Date: 5/18/2015
Line Part Description Quantity Retail Price Your Price Ext Price
1 61736 Diamond Pro- IWF 15kg Bar 2 $ 189.00 $ 170.10 $ 340.20
` 7�'Pa iiietSchedule, SubTotI: $ 340.20
.;Due'Date;. . . Amount, Misc/Shipping: $ 51.03
1 6/17/2015 _ 391.23
Tax: $ 0.00
Total 391.23
Invoice Total: $ 391.23
Amount Paid: $ 0.00
Amount Due: $ 391.23
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
5/18/15 8110075 Diamond Pro IWF 38532 $ 391.23
Total $ 391.23
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
Voucher No. Warrant No.
i
353696 Power Systems i Allowed 20
5700 Casey Drive I
Knoxville, TN 37909
In Sum of$
$ 391.23
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
i
PO#or
Dept
INVOICE NO. ACCT#/TITLE AMOUNT 80814 Members
Dept# _. .
1096-21 8110075 4350000 $ 391.23 1 hereby certify that the attached invoice(s), or
1. bill(s) is(are)true and correctand that the
materials or services itemized.thereon for
which charge is made were ordered and
received except
May 28, 2015:.
i
Signatufe.- .
$ 391.23 Accounts Payable Coordinator
Cost distribution ledger classification if Title;
f
claim paid motor vehicle highway fund
i
I _.