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319917 12/21/17 ,C4q'_ ,y_� '° CITY OF CARMEL, INDIANA VENDOR: 025925;: ;, f ONE CIVIC SQUARE THE BIKE LINE, INC. CHECK AMOUNT: $**.....195.92* _� CARMEL, INDIANA 46032 724 S.RANGELINE ROAD CHECK NUMBER: 319917 v, CARMEL IN 46032 CHECK DATE: 12/21/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4350000 195.92 120717131207750 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 025925 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER THE BIKE LINE, INC. IN SUM OF$ CITY OF CARMEL 724 S. RANG ELIN E ROAD An invoice or 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. CARMEL, IN 46032 Payee $195.92 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Terms Engineering Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 120717131207750 43-500.00 $195.92 1 hereby certify that the attached invoice(s),or 12/7/17 12071713120775 Engineering Trek bike repair $195.92 2200 2200 2200 2200 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 Monday, December 18,2017 Jeremy Kashman Director I 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 INVOICE The Bike Line Carmel 724 S Range Line Rd IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Carmel, IN 46032 Phone: (317) 815-1122 120717131207750 www.thebikeline.com sales@thebikeline.com Bill To Ship To ENGINEERING DEPT CARMEL ENGINEERING DEPT CARMEL Date: 12/07/2017 Sales Person: Keegan Greene Description Item Number MSRP Price Qty Extended TUBE BNT STD 27X1 3/8-700 64790 $8.99 $8.99 2 $17.98 KMC Z-517.1mm 6-7-8spdBr KMC30901107N $15.00 $15.00 1 $15.00 "JAG Basics Comp Mtn XCTh JAG35193606R $7.99 $7.99 2 $15.98 TIR BNT H2 70OX38C BK TIR27877150K $24.99 $24.99 2 $49.98 Rim tape Velox 22mm VEL16236209M $5.99 $5.99 2 $11.98 Subtotal: $110.92 Ticket#2564 Located: WO Date Due:12/08/2017 5:30 PM Customer:ENGINEERING DEPT CARMEL Repair Item:BLU/SILVER TREK 7100 REF#C005177 Customer Phone: Serial Number. Contact:When ALL REPAIRS are complete Save Old Parts:Yes Estimated By Advisor: Keegan Greene Serviced By Technician:Jack Broadhacker Description Item Number MSRP Price Qty Extended Tune Up RAC15191317P $85.00 $85.00 1 $85.00 Subtotal: $85.00 Sales Subtotal: $195.92 Shipping: $0.00 Total: $203.69 �Slgs,�2 PLEASE CONTACT JOSH KIRSH AT JKIRSH@CARMEL.IN.GOV WHEN BIKE IS DONE. REF#C005177 Labor prices do not include parts! To avoid storage fees,completed work orders must be picked up within 10 days. The above prices,specifications,and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified. Customer Signature: Date: 12/18/2017 10:35 AM Page 1 of 1