251223 11/04/15 �%'��p'''� CITY OF CARMEL, INDIANA VENDOR: 353696
`'` `� CHECK AMOUNT: $*******411.86*
.�; ® �;• ONE CIVIC SQUARE POWER SYSTEMS INC
r• _� CARMEL, INDIANA 46032 5700 CASEY DRIVE CHECK NUMBER: 251223
pM4iuN�` KNOXVILLE TN 37909 CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 8149518 411.86 GENERAL PROGRAM SUPPL
5700 Casey Dr.
Knoxville,TN 37909
800.321.6975
POWER
865.769.8223
fitness@power-systems.com 800.298.2057 fax
Tax I D:47-2613595
Invoice: of
Customer:
Bill To: Ship To:
Carmel Clay Parks And Recreation Dawn Koepper
Accounts Payable Monon Community Center
1411 E 116Th St 1235 Central Park Dr E
Carmel IN 46032-7611Mary Evans
EECEIVE]D Carmel IN 46032-4421
Sold To:
0 C T 2 8 2015
Carmel Clay Parks And Recreation
Accounts Payable
BY: 141.1 E 116Th St -
Carmel IN 46032-7611
United States
Invoice Date: 10/23/2015
PO Number:39185 Terms: Net 30 Terms Ship Via: FedEx Ground
Packing Slip:151819 Order Number: 5134688 Ship Date: 10/23/2015
Line Part Description Quantity Retail Price Your Price Ext Price
1 70255 Bosu Sport 50cm Balance Trainer-Blue 2 $ 99.95 $ 89.95 $ 179.90
2 50357 Premium Kettlebell 20 Ib. 1 $ 56.95 $ 45.56 $45.56
3 50358 Premium,Kettlebell 25 Ib. 1 $ 63.95 $ 51.16 $ 51.16
4 85360 Omron Body Fat Analyzer 1 $ 64.95 $ 55.21 $ 55.21
5 85415 Gulick Tape Measure 1 $ 30.95 $ 26.31 $26.31
1!11/227/2015
Sub Total: $ 358.14
Misc/Shipping: $ 53.72
411.86 Tax: $ 0.00
411.86 Invoice Total: $ 411.86
Amount Paid: $ 0.00
Amount Due: $ 411.86
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
10/23/15 8149518 Equipment for Fitness programs 39185 $ 411.86
Total $ 411.86
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
I
Voucher No. Warrant No.
353696 Power Systems Allowed 20
5700 Casey Drive
- Knoxville, TN 37909
In Sum of$
$ 411.86
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
I
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
Dept#
1096-22 8149518 4239039 $ 411.86 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
I
October 28,2015
IpAdtb��I
Signature
$ 411.86 Accounts Payable Coordinator
Cost distribution ledger classification if f Title
claim paid motor vehicle highway fund i
I
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