303249 09/22/16 ,Cqq.
" � CITY OF CARMEL, INDIANA VENDOR: 353696
�1 ONE CIVIC SQUARE POWER SYSTEMS INC CHECK AMOUNT: $*******346.63*
x. 4; CARMEL, INDIANA 46032 5700 CASEY DRIVE CHECK NUMBER: 303249
9�,�,�oN,`o, KNOXVILLE TN 37909 CHECK DATE: 09/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4238000 8223563 346.63 SMALL TOOLS & MINOR E
Voucher No. Warrant No.
353696 Power Systems Allowed 20
5700 Casey Drive
Knoxville, TN 37909
In Sum of$
$ 346.63
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-21 8223563 4238000 $ 346.63 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
September 14, 2016
Signature
$ 346.63 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
9/7/16 8223563 Fitness Center Exercise Mats 40530 $ 346.63
Total I $ 346.63
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
.r r57000Ca�seyDr 1
OW�
fl
Knoxville:TN 3790
800.321.6975
800.298.2057 fax
Tax ID: 39-1720480
Fitness@power-systems.com
lnvoice:8223563 INVOICEPage: of
Customer: •
Bill To: Ship To:
Carmel Clay Parks And Recreation ; �' Monon Community Center
Accounts Payable 1235 Central Park Dr E
1411 E 116Th St S E P 2 2016 ' Attn: Matt Whirley
Carmel IN 46032-7611 Carmel IN 46032-4421
Sold To:
Carmel Clay Parks And Recreation -
Accounts Payable
1411 E 116Th St
Carmel IN 46032-7611
United States
I;Vol ec Dae 9!7%2016
PO Number 40530 Terms: Net 30 Terms Ship Via: FedEx Ground
Packing SIip:228597 Order Number: 5203989 Ship Date: 9/7/2016
Line Part Description Quantity Retail Price Your Price. Ext Price
1 93832 Premium Hanging Club Mat 72 in. L x 23 in. W x 5/8 8 $ 49.95 $ 39.96 $ 319.68
paymeascheduJe Sub Total: $ 319.68
Due pate - WAidoant Misc/Shipping: $ 26.95 "
1 10/7/2016. 346.63 Tax: $ 0.00
Total 346.63 Invoice Total: $ 346.63
A[Count Paid: $ 0.00
AmoLnt Due<� $ 346ai3
Power Systems PS, LLC 5700 Casey Drive Knoxville TN 37909 powersystems.com 865.769.8223