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182271 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 363884 Page 1 of 1 ONE CIVIC SQUARE BLAST FITNESS CARMEL, INDIANA 46032 CHECK AMOUNT: $2,730.00 i r c 1212 INDY PLACE INDIANAPOLIS IN 46214 CHECK NUMBER: 182271 CHECK DATE: 2/17/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DE 1120 4357004 2010 -02 -4 2,730.00 EXTERNAL INSTRUCT FEE .k y� 1212 Indy Place Indianapolis, IN. 46214 02/10/2010 2010 -02 -4- CARMEL United States 317- 681 -3031 infooblastfitindy.com www,blastfitindy.com a W N :r Company Name: Carmel Fire Department Headquarters Customer Number: CARMELFDHQ Attn: Denise Snyder Budget and Accreditation Manager Street: 2 Civic Square C -S -Z: Carmel, IN. 46032 Phone: 317 -571 -2600 Email: dsnyder carmel.in.gov 30 Days 4 Training for the Carmel 68250 2,730.00 Fire Department Recruit Class CrossFit i 2,730.00 Authorizing Signature: Today's Date: VOUCHER NO. ,WARRANT NO. ALLOWED 20 Blast Fitness IN SUM OF 1212 Indy Place Indianapolis, IN 46214 $2,730.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #rrITLE AMOUNT Board Members 1120 2010 -02-4- 43- 570.04 $2,730.00 1 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 FEB 15 2010 Q Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 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. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 1 010- 02- 4 -CARME $2,730.00 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