248002 07/28/15 G% ��p"f� CITY OF CARMEL, INDIANA VENDOR: 353696
® r ONE CIVIC SQUARE POWER SYSTEMS INC CHECK AMOUNT: $*******343.96*
:. _�; CARMEL, INDIANA 46032 5700 CASEY DRIVE CHECK NUMBER: 248002
9.J���TON,�� KNOXVILLE TN 37909 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4238000 8122150 343.96 SMALL TOOLS & MINOR E
5700 Casey Dr.
POWERSYSILm.a Knoxville,TN 37909
JUL 3 2015 800.321.6975
fitness@power-systems.com 865.769.8223
BY: 800.298.2057 fax
Tax ID:47-2613595
lnvoice:8122150 INVOICE
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
Sold To:
Carmel Clay Parks And Recreation
Accounts Payable
1411 E 116Th St
Carmel IN 46032-7611
United States
Invoice Date:7/8/2015
PO Number:38807 Terms: Net 30 Terms Ship Via: FedEx Ground
Packing Slip:123907 Order Number: 5108640 Ship Date: 7/8/2015
Line Part Description Quantity Retail Price Your Price Ext Price
1 84055 Versa-Tube- Light-Green (48 in.) 20 $ 7.95 $ 4.77 $ 95.40
2 84060 Versa-Tube- Medium - Red (48 in.) 15 $ 8.95 $ 7.61 $ 114.15
3 84065 Versa-Tube- Heavy- Blue (48 in.) 15 $ 9.95 $ 5.97 $ 89.55
i paymeiit.Schedule Sub Total: $ 299.10
1 Due Date' Amounf Misc/Shipping: $ 44.86
1 8/7/2015 343.961 Tax: $ 0.00
L_:::!:o�tal 343.96 Invoice Total: $ 343.96
Amount Paid: $ 0.00
Amount Due: $ 343.96
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
7/8/15 8122150 Fitness equipment 38807 $ 343.96
Total $ 343.96
I hereby certify that the attached invoice(s),or bills)is(are)true and correct and I have audited same in accordance
with M 5-11-10-1.6
, 20
Clerk-Treasurer
Voucher No. Warrant No.
353696 Power Systems Allowed 20
5700 Casey Drive
Knoxville, TN 37909
In Sum of$
$ 343.96
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-21 8122150 4238000 $ 343.96 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
July 23,2015
I
f
Signature
$ 343.96 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I
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