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314703 8/15/2017 Q CITY OF CARMEL, INDIANA VENDOR: 353696 ONE CIVIC SQUARE POWER SYSTEMS INC CHECK AMOUNT: S'"''"*201.25' CARMEL, INDIANA 46032 5700 CASEY DRIVE CHECK NUMBER: 314703 KNOXVILLE TN 37909 CHECK DATE: 08/15/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4239039 8297583 201.25 GENERAL PROGRAM SUPPL 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 8/1/17 8297583 Dumbbells for Fitness Programs xx5688a $ 201.25 Total $ 201.25 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 nWE RSYST E M S Knox Casey Dr. Knoxville,TN 37909 z, 800.321.6975 800.298.2057 fax Tax ID:39-1720480 Fitness@power-systems.com • Page:INVOICE• ' Bill To: Ship To: Carmel Clay Parks And Recreation Monon Community Center Accounts Payable 1235 Central Park Dr E 1411 E 116Th St Carmel IN 460324421 Carmel IN 46032-7611 United States Sold To: Carmel Clay Parks And Recreation A U G O 2011 0,l ( Accounts Payable 1411E 116Th St Carmel IN 46032-7611 BY: ............................... United States Invoice Date:8/1/2017 PO Number:XX-5688A Terms: Net 30 Terms Ship Via: FedEx Ground Packing Slip:303225 Order Number: 5272053 Ship Date: 8/1/2017 Line Part Description Quantity Retail Price Your Price Ext Price 1 61603 Premium Neoprene Coated Dumbbell 3 lb. 15 $ 4.99 $ 3.84 $ 57.60 2 61604 Premium Neoprene Coated Dumbbell 4 lb. 10 $ 5.99 $ 4.61 $ 46.10 3 61706 Deluxe Vinyl Coated Dumbbell 6 Ib. 10 $ 8.39 $ 7.13 $ 71.30 t Sub Total: $ 175.00 Misc/ShiPP in9 $ 26.25 f Ma gym.. 1 8/31/2017 201.251 Tax: $ 0.00 Total 201.25 Invoice Total: $ 201.25 Amount Paid: $ 0.00 Amount Due: $ 201.25 Power Systems PS, LLC 5700 Casey Drive Knoxville TN 37909 powersystems.com 865.769.8223