312819 06/16/17 CITY OF CARMEL, INDIANA VENDOR: 353696
ONE CIVIC SQUARE POWER SYSTEMS INC CHECK AMOUNT: $"''"*213.49'
CARMEL, INDIANA 46032 5700 CASEY DRIVE CHECK NUMBER: 312819. KNOXVILLE TN 37909 CHECK DATE: 06/16/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4238000 8284032 213.49 SMALL TOOLS & MINOR E
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
6/2/17 8284032 Fitness Small Equipment Replacement xx5393 $ 213.49
Total $ 213.49
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
� Knox OWE S STEMS Casey Dr.
Knoxville,TN 37909
800.321.6975
800.298.2057 fax
Tax ID: 39-1720480
Fitness@power-systems.com
• - •
Bill To: Ship To:
Carmel Clay Parks And Recreation Matt Whirley
Accounts Payable Monon Community Center
1411 E 116Th St 1235 Central Park Dr E
Carmel IN 46032-7611 Carmel IN 46032-4421
United States
Sold To:
Carmel Clay Parks And Recreation
Accounts Payable
1411 E 116Th St
Carmel IN 46032-7611
United States
Invoice Date:6/2/2017
PO Number:XX-5393 Terms: Net 30 Terms Ship Via: FedEx Ground
Packing Slip:289771 Order Number: 5259800 Ship Date: 6/2/2017
Line Part Description Quantity Retail Price Your Price Ext Price
1 61815 Pro Power Bar -700 Ib. Capacity - Nickel 1 $ 226.39 $ 185.64 $ 185.64
"R P
FBY
JUN 0 8 1017
:..
Sub Total: $ 185.64
--
"UTF6 Misc/Shipping: $ 27.85
1 7/2/2017 213.49 i Tax: $ 0.00
Total 213.49; Invoice Total: $ 213.49
Amount Paid: $ 0.00
Amount Due: $ 213.49
Power Systems PS, LLC 5700 Casey Drive Knoxville TN 37909 powersystems.com 865.769.8223