247163 07/15/15 +o_C4NM
CITY OF CARMEL, INDIANA VENDOR: 026625
ONE CIVIC SQUARE BOB BLOCK FITNESS EQUIP CHECK AMOUNT: $*******105.00*
s. ?� CARMEL, INDIANA 46032 8128 CASTLEWAY COURT WEST CHECK NUMBER: 247163
INDIANAPOLIS IN 46250 CHECK DATE: 07/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 88273 105.00 OTHER CONT SERVICES
OZ"z INVOICE
CRtneHH Equipment INVOICE INVOICE DATE ER 06/25/2015
8128 Castleway Court West SALESPERSON TIM RAGAN
Indianapolis,IN 46250 CUSTOMER NUMBER 01-CARO1
(317)845-7700
Fax:(317)845-7704
www.bobblockfitiiess.com
SOLD TO: CARMEL FIRE DEPARTMENT SHIP TO: CARMEL FIRE DEPT#41
2 Civic Square 2 Civic Square
CARMEL, IN 46032 CARMEL, IN 46032
CONFIRM TO:
---- —-P:O-NUMBER -- - ---PAID BY:-- --- —CHECK#- - — --- REFERENCE---- -------- --TF-RMS--
DUE
-TF-RMS-DUE ON RECEIPT
ITEM DESCRIPTION ORDERED SHIPPED B/O UNIT PRICE TOTAL
STAIRMASTER STEPMILL 7000PT S/N:20000020826003
SCREEN SHOWING RANDOM DISPLAY. NOT ABLE TO RE
DISPLAY,REMOVED DISPLAY TO BE SENT IN FOR REPAI
AS NEW CONSOLES ARE NOT AVAILABLE FOR THIS UNI
/LABOR SERVICE LABOR 80.00
/TRIP SERVICE TRIP CHARGE 25.00
THANK YOU FOR THE OPPORTUNITY TO BE OF SERVICE Net Invoice: 105.00
Freight: 0.00
Sales Tax: 0.00
105.00
Less Deposit: 0.00
105.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bob Block Fitness
IN SUM OF $
8128 Castleway Court West
Indianapolis, IN 46250
$105.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 88273 43-509.00 $105.00 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 ww 113
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
88273 Sta.41 Treadmill $105.00
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
20
Clerk-Treasurer