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183666 03/25/2010 CITY OF CARMEL, INDIANA VENDOR: 353696 Page 1 of 1 j ONE CIVIC SQUARE POWER SYSTEMS INC 4 CARMEL, INDIANA 46032 PO BOX 51030 CHECK AMOUNT: $1,235.51 KNOXVILLE TN 37950 -1030 CHECK NUMBER: 183666 CHECK DATE: 3/25/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4239039 1014600 1,235.51 GENERAL PROGRAM SUPPL POWER Knoxville, TN337950 IN 1119 1- 800- 321 -6975 1014600 �iy r (865) 769 -8223 e 3/3 /2010 (865) 769 -8211 FAX 1 of 1 w. ww power -syste ms.com Email to fitness @power systems.com Bill To: CARMEL, CITY OF Ship To: RECEIVING ACCOUNTS PAYABLE CITY OF CARMEL 1 CIVIC SQ MONON CENTER /LINDSEY WILLARD CARMEL, IN 46032 -2584 1235 CENTRAL PARK DR E USA PO 23230 CARMEL, IN 46032 -4421 USA a s Cust o 432743 amm 3/3/2010 Net 30 Days 4/2/2010 23230 2516840 a a a w 1 84060 Versa -Tube Medium Red 40 40 0 EA 6.75 270.00 .f 2 84065 Versa -Tube Heavy Blue 40 40 0 EA 8.25 330.00 3 83323 Premium Yoga Sticky Mat 68" L x 24" W x 1/4" tl 20 20 0 EA 23.95 479.00 4 84050 Versa -Tube Extra Light Yellow 30 30 0 EA 5.50 165.00 5 84055 Versa -Tube Light Green 30 30 0 EA 6.00 180.00 Purchase 2� U II r Descrlptiort P.O. :3.?�n P P MA 1 1 20 D 1 D B ud �a (77�,_„I'�YCCx�I Purchaser Approval Date- $1,424.00 $237.00 $48.51 $0.00 $0.00 $1,235.51 COMMENTS r_ar_invprint_us A 1.5% Finance Charge or a $5.00 minimum charge will be applied to all balances over 30 days. 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 P.O. Box 51030 Knoxville, TN 37950 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 313110 1014600 Fitness supplies 23230 1,235.51 Total 1,235.51 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 Voucher No. Warrant No. 353696 Power Systems Allowed 20 P.O. Box 51030 Knoxville, TN 37950 In Sum of ,1 1,235.51 ON ACCOUNT OF APPROPRIATION FOR 109 Morton Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1096 -22 1014600 4239039 1,235.51 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 25 -Mar 2010 Signature 1,235.51 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund