251534 11/18/15 CITY OF CARMEL, INDIANA VENDOR: 360856
ONE CIVIC SQUARE FITNESS FIXX SERVICE INC CHECK AMOUNT: $"""'"*522.50'
CARMEL, INDIANA 46032 10085 ALLISONVILLE ROAD SUITE 205 CHECK NUMBER: 251534
FISHERS IN 46038
9M�rtin-�O? CHECK DATE: 11/18115
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4350000 14391 522.50 EQUIPMENT REPAIRS & M
:. FITNESS FIXXRE VEL.-
_ Invoice
10085 Allisonville Rd Suite 205
Fishers, IN 46038 t015 {{ Date- ;-
(317) 435-3646 NOV - 3 I 1 -
0/30/15 14391
BY:
Bill.To: Ship To
Carmel Clay Parks and Recreation Monon Center
1411 E. 116th Street 1235 Central Park Drive East
Carmel, IN 46032 Carmel, IN 46032
Due Date
.Terms•
39189 Net 30 11/29/15
Description
Quantity �: -::Rate,'_ ;Arno.
y , ,
. ..
ex 11181 Hip Selector Pin 1 35.00 35.00
4.5 Pulley 1 25.00 25.00
Pulley Hardware 1 10.00 10.00
Baring Adhesive 1 15.00 15.00
General Labor charge for 2 technician with PM discount applied 4.75 85.00 403.75
Trip Charge(Round Trip) 0.75 45.00 33.75
I
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.
360856 Fitness Fixx Services, Inc. Terms
10085 Allisonville Rd, Suite 205
Fishers, IN 46038
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
10'30115 14391 Cybex repairs
39189 $ 522.50
Total $ 522.50
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.
360856 Fitness Fixx Services, Inc. Allowed 20
10085 Allisonville Rd, Suite 205
Fishers, IN 46038
In Sum of$
$ 522.50
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Deptept# "
1096-21 14391 4350000 $ 522.50 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
November 3, 2015
'PAh&WK&�)
$ 522.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund