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HomeMy WebLinkAbout181199 01/13/2010 (1 CITY OF CARMEL, INDIANA VENDOR: 360856 Page 1 of 1 i ONE CIVIC SQUARE FITNESS FIXX CHECK AMOUNT: $235.00 CARMEL, INDIANA 46032 11650 LANTERN RD STE 216 FISHERS IN 46038 CHECK NUMBER: 181199 CHECK DATE: 1/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4350000 6922 235.00 EQUIPMENT REPAIRS M I REC p,.,,® VH='iD TFITNESS F DEC 1 4 2009 Invoice 0114f /7r jf9V /Cf 44719 "PA /9 {09 f1IWVfSS fOl1 /P,Mf4'f 4 11650 Lantern Rd., Ste. 216 DATE INVOICE# Fishers, IN 46038 (317)435 -3646 12/8/2009 6922 BILL TO SHIP TO Cannel Clay Parks and Recreation Carmel Clay Parks and Recreation 1235 Central Park Drive East 1235 Central Park Drive East Carmel, IN 46032 Cannel, IN 46032 1 P.O. NO. TERMS DUE DATE 1207091JM Net 30 1/7/2010 DESCRIPTION QTY RATE AMOUNT PM Discount Labor for one technician 4.25 50.00 212.50 Trip Charge (Round Trip) P.M. Discount 0 -5 45.00 22 -50 PAS 3 1 ,y r t e 0 0 2 40 0000 DEC 2 2 z009 b 61ne ill l .09 All work is complete! Total $235.00 1 1 Technician: 1., vt- V FITNESS F I X X Service Ticket 7 0 f UAl Sf9Y /Cf 4#B 1IfPAl/J f09 F /INESS FCU /P ?F#T 1 `t 7 Payment Method: Z 11650 Lantern Road/ Suite 216 Warranty Cash Fishers, IN 46038 Contract _Check P (317) 435 -3646 F (317) 579 -0653 Prepaid To Be billed W,- www.fitnessfixx.net E service @fitnessfixx.net Bill To LA rin'l t c p Customer Contact J [4 107 CJz5 (AJ et /,c/ Phone Add /2-35 Ceti i 1 is k ues, D C c e wil 1 State zi 0 zip Z., Manufacturer/Model Serial WeialleiZIE Date1''` 11* Tine r; e _EndTimeW ServiceaTtmeV _Service.Catl. 1_ ..42.�7� k. -9- 1 >6 2 jfv Service Call #2 1 K tig 4 a i.g� OTot al Seq 21.1 ime m -e Service Required Trouble Reported rr c r Tt /A i 1 1 i5 °ri5o1' e �'X'cis/ 4 °I i ldA inct(-v`i el is ij v-e_ iik.ck t irk �j s uec,ki 1 I A f` a ��JJ lI o A I\ v5e eq d kon.e r c k6 reil 6 mow n� otA 1qcyc I nee 5 Actual Failure Service Performed 1 �P l 9�� c�' �ec ts� n y rens©1e on i uSx ©6 ski: c136/2-36 e itec k e .r Cy c�1 c74'") c vu o m r a IN -I� ti1�, d e e, n e d iA l I� e 15 cr f d�a c k5 d jpecoed on 'at! ctf e/ r9 5,, CJI, =cc\ E 8 's irl:CP7y/7' 2 needs 5 met-A.4-41r ref letce c) -0 re sd ivP 6-I tidi ii4i uA Vse Ail bex Arc TrrA; at ev' (A- --A'S 61ci ,e w) ne -eo`' feel cl pA ar e rr A j i) ^s re fictce'_C) or? Vr5 ;cttn remote earl-fro Ile ti 5 Cybex Z'' Ika_s I� etc) TV. iisa .e. 1Ni ki clk_ V\ eed5 re 19r ed 4f f: 0 3 D `16Z®rscOoYC79o� es q11 Cctro) Q ci- S trek -t j 5 u n s b rie el i J fie t e� s't t„,;:'t o ,;2 x sc 'T4 OateYParF �t]a Parts Q lty 'a, v Dc .ciiptiOtl k a7 iR' d ta r ,,*t t 4 u .7 g _R Qrdered ��E zpcted��_ Amount•,,a: Signatures below indicate that the above work has been performed to the customer's satisfaction, Parts Total that the parts listed were replaced, and that the equipment has been left in good working condition Service Call Fee (except as noted). Customers agrees to pay all charges not covered by manufacturer or dealer's Technical Service 5 °lhr 2 1,5 warranties. 7 ;LY11( Travel r j hrs. 17/6 /hr 2 1 5 0 Service Technician ate Z 0 C Sales Tax Customer Approval If Lc..e Date c 1 Total' f3 0 W ite Billing, Yellow Customer t 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. 360856 Fitness Fixx Terms 11650 Lantern Rd., Ste. 216 Fishers, IN 46038 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 12/8/09 6922 Equipment repairs 23035 F 235.00 Total 235.00 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 Voucher No. Warrant No. 360856 Fitness Fixx Allowed 20 11650 Lantern Rd., Ste. 216 Fishers, IN 46038 In Sum of 235.00 ON ACCOUNT OF APPROPRIATION FOR PO# or Board Members Dept INVOICE NO. ACCT #/TITLE AMOUNT 6922 4350000 235.00 I hereby certify that the attached invoice(s), or ie ,A1 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 7 -Jan 2010 Signature 235.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund