HomeMy WebLinkAbout323698 04/06/18 CITY OF CARMEL, INDIANA VENDOR: 364209
ONE CIVIC SQUARE' JOHNSON HEALTH TECH NA INC CHECK AMOUNT: $`+**"`+39 77`
?� CARMEL, INDIANA 46032 27829 NETWORK PLACE CHECK NUMBER: 323698
CHICAGO IL 60673-1278 CHECK DATE: 04/06/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4237000 9002161760 39.77 REPAIR PARTS
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 364209 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Johnson Health Tech NA, Inc. Payee
27829 Network Place
Chicago, IL 60673-1278 In Sum of$ Purchase Order#
364209 Johnson Health Tech NA, Inc. Terms
$ 39.77 27829 Network Place Date Due
Chicago, IL 60673-1278
ON ACCOUNT OF APPROPRIATION FOR
109-Monon Center
PO#or INVOICE NO. ACCT#!TITLE AMOUNT Invoice Description
Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1096-21 9002161760 4237000 $ 39.77 Board Members 3/20/18 9002161760 Matrix Arm/Elbow Pad part Replacement xx6608 $ 39.77
I 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
$ 39.77 Total $ 39.77
April 4,2018
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
Cost distribution ledger classification if
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
Johnson Health Tech NA Inc.
1600 Landmark Drive
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Cottage Grove WI 53527 Document X9002=161.70'
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JOHNSON Phone: 608-839-1240 Date !�,
Fax: 608-839-1260 Page 1 of 1
Switch to e-invoicing todayl Email Accounts Receivable at Accounts.Receivable@ohnsonfit.com to start receiving all of your
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Bill-To: 33004423 - Ship-To: 33004423
Carmel Clay Parks and Recreation -�'' =' t Monon Community Center
Collene Broderick Matt
2018 Matt Whirley
1411 E 116th Street 1235 Central Park Drive East
Carmel, IN 46032 Carmel, IN 46032
BY:
—-Comment:-CRM-User:Alameyah;-CRM Order#:-ORD-1318444;Case-#:CRS-1098801-SOK3S 4; - --- -- — — ---
Shipping Comment:
Purchase-Order No. Sales Order No. Sales Person ID Shipping Method Terms Due Date
dXX'�6608 101298126 GL Dist Manager UPS GROUND 100%PTS 03/20/2018
LN# Qty, Model Number Item Number Description List.Price Net Unit Price Ext.._Price.
10% 2 1000305504 Elbow - ..-.... 12.74 ._.. 25.48-
Pad;;Leather,PU,Vesicant;Blick;;FW
e 829 ern To: r Tracking/Pro#.: Discounts 0.00 Freight 14.29
Johnson HealthxTech.NA Lqc.r lZ6783A80302053676 Misc./Duty0.00 Freight Disc. 0.00
'127twoF lace
- Other Fees 0.00 Tax 0.00
Chicago, (L 60673 1278 Subtotal 25.48 :Total USD 9.7r w
A Service Charge of 1.5% Per Month
Will Apply To All Delinquent Balances
HORIZON VVISION M /. -r IR I X
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FITNESS F I T N E S S