HomeMy WebLinkAbout257774 04/26/16 %���p'' CITY OF CARMEL, INDIANA VENDOR: 364209
® ONE CIVIC SQUARE JOHNSON HEALTH TECH NA INC CHECK AMOUNT: $********37.04*
f. is CARMEL, INDIANA 46032 27829 NETWORK PLACE CHECK NUMBER: 257774
9M�/)pN•�,' CHICAGO IL 60 673-1 27 8 CHECK DATE: 04/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4237000 9001808474 37.04 REPAIR PARTS
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.
364209 Johnson Health Tech NA, Inc. Terms
1600 Landmark Drive
Cottage Grove, WI 53527
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
4/13/16 9001808474 Replacement part for recumbent Bike xx3590 $ 37.04
Total $ 37.04
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
i
Voucher No. Warrant No.
r
364209 Johnson Health Tech NA, Inc. Allowed 20
1600 Landmark Drive
Cottage Grove, WI 53527 i
In Sum of$
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I
$ 37.04
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. CCT#/TITL AMOUNT Board Members
Dept# +
1096-21 9001808474 4237000 $ 37.04 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
i received except
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I
April 20, 2016
'P
Signature
$ 37.04 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I
^+� Johnson Health Tech NA Inc. #NVO�CE,
1600 Landmark Drive -
-�� J Cottage Grove,WI 53527 Document 900180847w4
J ;����� Phone:608-839-1240 Date
Fax: 608-839-1260 Page 1 of 1
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Bill-To: 33004423 Ship-To:33004423 RECEIVED
IVSD
Carmel Clay Parks and Recreation MCC-East
Collene Broderick Jay Ransford APR 18 2616
1411 E 116th Street 1411 E 116th Street
Carmel, IN 46032 Carmel, IN 46032 BY:
Comment: CRM User:Amy Rath;CRM Order#:ORD-1050660;Case#:CAS-880880-TOW6N5;
Shipping Comment:
Purchase Order No. Sales Order No. Sales Person ID Shipping Method Terms Due Date
`XX-3590 � ) 101082168 GLTM(GreatLakes-TM) UPS GROUND Net 30 05/13/2016
EW,1-- Model Number Item Number Description List Price Net Unit Price Ext.Price
10 '1 000334-F Cover;Back Pad Set;;ABS;;BL;;RB50 20.57 20.57
emit To Tracking/Pro#: Discounts 0.00 Freight 16.47
Johnson. ealt
h Tech NA Inc; lZ6783A80300086699 Misc./Duty 0.00 ELeight Disc. 0.00
7829 Networ,_k'.l?ace
Other Fees 0.0 Tax 2.59-1
Chicago, IL 60673 1278 Subtotal 20.57 To>ak; USDA
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A Service Charge of 1.5% Per Month �+ *may=-��
Will Apply To All Delinquent Balances }�
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