257789 04/26/16 CITY OF CARMEL, INDIANA VENDOR: 368619
® ONE CIVIC SQUARE POUND ROCKOUT WORKOUT LLC CHECK AMOUNT: $*******229.07*
CARMEL, INDIANA 46032 5890 BLACKWELDER STREET CHECK NUMBER: 257789
y�TON moo. SUITE B CHECK DATE: 04/26/16
CULVER CITY CA 90230
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 1603-92 229.07 GENERAL PROGRAM SUPPL
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.
368619 Pound Rockout Workout, LLC Terms
5890 Blackwelder Street, Suite B
Culver City, CA 90230
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
4/13/16 160392 Pound ripstix 39424 $ 229.07
Total Is 229.07
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.
368619 Pound Rockout Workout, LLC R Allowed 20
In Sum of$
N=�NEW,�AD``DRISS��� a
$ 229.07
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
I
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-22 160392 4239039 $ 229.07 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
April 21, 2016
Signature
$ 229.07 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Pound Rockout Workout, LLC
P _t;L-
,. O �UND ROCKOUT WORKOUT C
^589 Blackwelder S `
Invoice
S l e B 1 at 17 ,GQ
F 90230 04/13/26'64-7::'
`'
It.
lcl
Cult' City
;. F �ai`603 92
(888)281-8505 Due Datet
billing@poundfit.com
http://www.poundfit.com Due on receipt 05/01/2016
Bill Tor r
RE
................
..........
EIED
Mary Evans A P-R 2 1 2016
Carmel Clay Parks&Recreation
1235 Central Park Drive E
Carmel,IN 46032 BY:
Arriaunt bue }' Enctose, 4
$229.07
Please detach top portion and return with your payment.
Sfiipumber' '
04/14/2016 39424
•Rock Club Package 1 260.00 260.00
15 Sets of Ripstix
•Ripstix Package Discount 1 -39.00 -39.00
•Ripstix Shipping 1 8.07 8.07
Please remit to this address:
5890 Blackwelder Street Tot) m $ 2 }q
Suite B
Culver City,CA 90230