HomeMy WebLinkAbout258933 05/31/16 CITY OF CARMEL, INDIANA VENDOR: 026625
ONE CIVIC SQUARE BOB BLOCK FITNESS EQUIP CHECK AMOUNT: $*******105.00*
CARMEL, INDIANA 46032 8128 CASTLEWAY COURT WEST CHECK NUMBER: 258933
.yioN INDIANAPOLIS IN 46250 CHECK DATE: 05/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0089621-IN 105.00 OTHER EXPENSES
VOUCHER # 165357 WARRANT # ALLOWED
026625 IN SUM OF $
BOB BLOCK FITNESS EQUIPMENT
8128 CASTLEWAY CT. W.
INDIANAPOLIS, IN 46250
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
0089621-IN 01-7362-05 $105.00
Voucher Total $105.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
026625
BOB BLOCK FITNESS EQUIPMENT Purchase Order No.
8128 CASTLEWAY CT. W. Terms
INDIANAPOLIS, IN 46250 Due Date 5/19/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/19/2016 0089621-IN $105.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
ff"A ff/"r INVOICE
INVOICE NUMBER 0089621-IN
(RMEF-gs EquipML=17t) INVOICE DATE 05/12/2016
SALESPERSON DANIEL PETE
8128 Castleway Court West
Indianapolis,IN 46250 CUSTOMER NUMBER 01-CARI
(317)845-7700
Fax:(317)845-7704
www.bobblockfitness.com
SOLD TO: CARMEL UTILITIES SHIP TO: CARMEL UTILITIES
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
INDIANAPOLIS, IN 46280 INDIANAPOLIS, IN 46280
CONFIRM TO: JOSEPH FAUCETT
P.O.NUMBER -PAID BY: CHECK# REFERENCE TERMS
INV DUE ON RECEIPT
ITEM DESCRIPTION ORDERED SHIPPED B/O UNIT PRICE TOTAL
PERFORMED A PM GENERAL SERVICE ON ALL EQUIPME
/LABOR SERVICE LABOR 80.00
/TRIP SERVICE TRIP CHARGE 25.00
THANK YOU FOR THE OPPORTUNITY TO BE OF SERVICE Net Invoice: 105.00
Freight: 0.00
Sales Tax: 0.00
105.00
Less Deposit: 0.00
105.00
W/"Z
Payment Method: _
❑ Warranty ❑ Cash
❑ Prepaid 0 Check
Fitness Equipment ❑ Contract tL9 To Be Billed
❑ Credit Card �.
Service Work Order Technician Name:
8128 Castleway Court West Date: !f-r(,
Indianapolis, Indiana 46250
(800) 852-4168 - (317) 845-7700 Chad Bement - Service Manager
FAX (317)845-7704 (-,)1 - CA 2 `
www.bobblockfitness.com
Name: C, � ,` Contact: ,-,,r., �-
Address:
1k) LHICIWO
Phone: - 7
Service IssueLJ
Date
Service's Performed Date
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Signature below indicates that the above work has been performed to the Parts Total
customer's satisfaction, that the parts listed were replaced, and that the
equipment has been left in good working condition (except as noted). Service Call Fee
Customer agrees to pay all charges not covered by manufacturer or dealer's Freight
warranties. Trip Charge
Customer Approval Date
Sales Tax
TOTAL
White - Billing/ Yellow - Customer