258855 05/26/16 CITY OF CARMEL, INDIANA VENDOR: 353696
® I ONE CIVIC SQUARE POWER SYSTEMS INC CHECK AMOUNT: $*******124.76*
r CARMEL, INDIANA 46032 5700 CASEY DRIVE CHECK NUMBER: 258855
KNOXVILLE TN 37909 CHECK DATE: 05/26/16
pro*
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 8195281 124.76 GENERAL PROGRAM SUPPL
Voucher No. Warrant No.
353696 Power Systems Allowed 20
5700 Casey Drive
Knoxville, TN 37909
In Sum of$
$ 124.76
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-21 8195281 4239039 $ 124.76 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
May 19, 2016
Signature
$ 124.76 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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
5/5/16 8195281 Small Fitness Equipment xx3699 $ 124.76
Total $ 124.76
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
1 ik2S �Zd- r.,n t * r, rt_ , F,5T&Casey Dr
h' `' ' oxville TN
C�����i,'
800.321.6975
MAY 0 9 2016 800.298.2057 fax
Tax ID: 39-1720480
Fitness@power-systems.com
INVOICE
Customer:
Bill To: Ship To:
Carmel Clay Parks And Recreation Carmel Clay Parks And Recreation
Accounts Payable 1411 E 116Th St
1411 E 116Th St Carmel IN 46032-7611
Carmel IN 46032-7611 United States
- Sold To:
- -- - - — Carmel Clay Parks And Recreatio_n-
Accounts Payable
1411 E 116Th St
Carmel IN 46032-7611
United States
Inic��a,eLi'��/5/20�'
OR Num Terms: Net 30 Terms Ship Via: FedEx Ground
Packing Slip:198924 Order Number: 5178313 Ship Date: 5/5/2016
Line Part Description Quantity Retail Price Your Price Ext Price
1 61706 Deluxe Vinyl Coated Dumbbell 6 Ib. 8 $ 7.95 $ 6.36 $ 50.88
2 61707 Deluxe Vinyl Coated Dumbbell 7 Ib. 8 $ 8.95 $ 7.16 $ 57.28
;PaymentSchedule '� Sub Total: $ 108.16
Due Date Amount! Misc/Shipping: $ 16.60
1 6/4/2016 124.76'iTax: $ 0.00
Total 124.76, Invoice Total: $ 124.76
Amount Paid;--------$ 0 0,0
Auntimo
Due` $ M24*76
Power Systems PS, LLC 5700 Casey Drive Knoxville TN 37909 powersystems.com 9'65'-.799'8223