251281 11/04/15 u'�,q+, CITY OF CARMEL, INDIANA VENDOR: 361874
ONE CIVIC SQUARE V T R, INC CHECK AMOUNT: $*****1,435.00*
,_� CARMEL, INDIANA 46032 PO BOX 501585 CHECK NUMBER: 251281
.y��roN moo, INDIANAPOLIS IN 46250 CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4237000 10169 590.00 REPAIR PARTS
1096 4237000 10407 845.00 REPAIR PARTS
VTR, Inc OCT 2 0 2015 Invoice
P.O.Box 501585
Indianapolis, IN 46250 BY: _ Date Invoice#
10/1/2015 10407
Bill To Ship To
Monon Center
P.O. Number Terms Rep Ship Via F.O.B. Project
Net 30 10/12/2015
Quantity Item Code Description Price Each Amount
Service Recover Vinyl Pads: 0.00 0.00
Torso Rotation R knee sleeve$20
Abdominal lean back sleeve$25
Arm Extension elbow pad $65
Arm Curl elbow sleeve$40
Row lean back pad $50
Fly/Delt lean back pad(back panel)$40
Standing Calf right shoulder sleeve $20
Leg Extension ankle pad&sleeve $60
Seated Leg Curl ankle sleeve $30
Free Weight:
(2)Flat Bench head sleeve 2@ $20 each
Plate Loaded Chest Press lean back pad $75
Flat Bench pad&head sleeve $75
Arm Curl elbow sleeve $40, bottom pad $50
Weight Chair bottom pad $50.00
Adjust.Incline Bench lean back&head sleeve $75
Modular Pat.Pull Down left thigh pad $40, bottom pad $50
Material Materials 300.00 300.00
Service Labor 545.00 545.00
Total $845.00
VTR, hic �ECETVED Invoice
P.O.Box 501585 OCT 21 0015
Indianapolis,IN 46250 Date Invoice#
BY: 5/27/2015 10169
Bill To Ship To
Monon Center
I
P.O. Number Terms Rep Ship Via F.O.B. Project
38451 Net 30 5/27/2015
Quantity Item Code, Description Price Each Amount
Service Recover vinyl 0.00 0.00
Roman Chair left elbow sleeve$20
PL Incline Press bottom pad$50
Flat Bench head sleeve$20
Modular Arm Curl elbow sleeve$40
Incline Sit Up Bench bottom pad$85
Hip Abduction lean back pad$65
Glute knee pad$40
Seated Leg Curl lean back pad$65
Prone Leg Curl right elbow pad$40
Arm Extension elbow sleeve $40
Pull Down knee sleeve$40
Chest Press lean back pad&head sleeve$85
Service labor 365.00 365.00
Material Materials 225.00 225.00
Total $590.00
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.
361874 V T R, Inc. Terms
P.O. Box 501585 Date Due
Indianapolis, IN 46250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
10/1/15 10407 Fitness Center Vinyl Repairs 39075 $ 845.00
5/27/15 10169 Fitness Center Vinyl Repairs 38451 $ 590.00
r.
Total $ 1,435:00
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with I C 5-11-10-1.6
20—
Clerk-Treasurer
i
i
Voucher No. Warrant No.
361874 V T R, Inc. Allowed 20
P.O. Box 501585
Indianapolis, IN 46250
In Sum of$
`I
I
$ 1,435.00
ON ACCOUNT OF APPROPRIATION FOR
- 109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT. Board Members
Dept#
1096-21 10407 4237000 $ 845.00 1 hereby certify that the attached invoice(s), or
1096-21 10169 4237000 $ 590.00 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
October 21, 2015 .
y
Signature
$ 1,435.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund