247761 07/28/15 *` CITY OF CARMEL, INDIANA VENDOR: 026625
d ''r ONE CIVIC SQUARE BOB BLOCK FITNESS EQUIP CHECK AMOUNT: $*****7,838.50*
f �� CARMEL, INDIANA 46032 8128 CASTLEWAY COURT WEST CHECK NUMBER: 247761
*e>o���� INDIANAPOLIS IN 46250 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4342100 32886 0029425 385.00 FITNESS SUPPLIES
1110 4463000 32886 0029425 7,453.50 FITNESS SUPPLIES
A!jjZ;7j, r sokA r INV®ICE
(Rtneag Equipment INVOICE NUMBER 0029425-IN
INVOICE DATE 07/08/2015
8128 Castleway Court West
SALESPERSON TIM RAGAN
Indianapolis,IN 46250 CUSTOMER NUMBER 01-CAR04
(317)845-7700
Fax:(317)845-7704
www.bobblockfitness.com
SOLD TO: CARMEL POLICE DEPARTMENT SHIP TO: CARMEL POLICE DEPARTMENT
ONE CIVIC SQUARE 3 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
CONFIRM TO: Ann Gallagher 571-2720
P.O.NUMBER PAID BY: CHECK# REFERENCE TERMS
38286 DUE ON RECEIPT
ITEM DESCRIPTION ORDERED SHIPPED B/O UNIT PRICE TOTAL
TRCS600T CS600T TREADMILL 2 WINDOW 1 1 0 4,300.00 4,300.00
* Seated Leg X/Leg Curl Infligh 1 1 0 2,150.00 2,150.00
INTIN-SBE-S INTELLBELL SPORT BENCH SILVER 5 2 2 0 190.00 380.00
POSITION
BS W-BDSTR Training Rope 40' 1.5" 1 1 0 130.00 130.00
* HIGH STEP W/RISERS 1 1 0 68.00 68.00
YOR 15120 20 LB KETTLEBELL 1 1 0 30.00 30.00
YOR 15125 25 LB KETTLEBELL 1 1 0 37.50 37.50
YOR 15130 30 LB KETTLEBELL 1 1 0 45.00 45.00
YOR 15135 35 LB KETTLEBELL 1 1 0 52.50 52.50
YOR 15140 40 LB KETTLEBELL 1 1 0 60.00 60.00
YOR 15145 45 LB KETTLEBELL I 1 0 67.50 67.50
BSBDSSBIO BODY SPORT SLAM BALL 10# 1 1 0 35.00 35.00
BSBDSSB 15 BODY SPORT SLAM BALL 15# 1 1 0 45.00 45.00
BSBDSSB20 BODY SPORT SLAM BALL 20# 1 1 0 53.00 53.00
THANK YOU FOR THE OPPORTUNITY TO BE OF SERVICE Net Invoice: 7.453.50
Freight: 385.00
Sales Tax: 0.00
7,838.50
Less Deposit: 0.00
7,838.50
! INDIANA RETAIL TAX EXEMPT PAGE
City of Carmel , = CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT n
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Bob®loch Fitfows EOuipmont Camol Pelico 13optAmont
VENDOR SHIP 3 Civic Squ=
8928 Cm9lomy Court Wast TO C@mol, IN 4
IndlanzIpoHg, IN 48 (317)679
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY
s s dUNIT
�1.4416OF MEA SURE DESCRIPTION UNIT PRICE EXTENSION
Acicount 43.42
9 Each shipping char0os $385.00 $383.00
Sub Total: $385.00
Account 444M.00
9 Each Slam Rall
$53.00 $53.00
9 Each Slam Ball IO1b$ f
$35.00 $35.00
9 Each Slam Bell 95lbs $45.00 X5.00
9 EaCigb S4ep(4 adjustable ripP
.a °o�} $88.00 $08.00
9 Each ae44leEc�I1 Seo 20-450bs 5y ,(G Y®rrC< � �? $202.50 $202.50
9 Each Battle Rope B?STR5 $930.00 $930.00
2 Each Flat i Indine Utility I�enct I�eu��U �� II v $100.00 $380.00
9 Each seated leg eztensi®n!19-pri 'I?IISECS,°—(�� �� $2,950.00 $2,950.00
1 EachTroedmili . ��CS600T � 'L_,3 $4,300.00 $4,300.00
a `.4 •" / , Sub Total: $7,453.50
0 �
Send Invoice To:
Cunol Pollco Dopaltmont
Attn: PSR Young
3 Civic Squaw
Camel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Polico Dept. PAYMENT U' '50
J • 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.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT�THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATI•N SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY J `-�'�•��ti""
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL vi
SHIPPING LABELS. f pollcoo
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
32886
���� CLERK-TREASURER
3
DOCUMENT CONTROL-NO. A.P,V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
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))
07/08/15 0029425-IN shipping charges $385.00
07/08/15 0029425-IN weight room equipment $7,453.50
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.
ALLOWED 20
Bob Block Fitness Equipment
IN SUM OF $
8128 Castleway Court West
Indianapolis, IN 46250
$7,838.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32886 0029425-IN 43-421.00 $385.00 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
32886 0029425-IN 44-630.00 $7,453.50
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, July 24, 2015
4ZChief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund