185156 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 026625 Page 1 of 1
t, ONE CIVIC SQUARE BOB BLOCK FITNESS EQUIP
CARMEL, INDIANA 46032 8128 CASTLEWAY COURT WEST CHECK AMOUNT: $105.00
INDIANAPOLIS IN 46250
CHECK NUMBER: 185156
CHECK DATE: 5/1112010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 0075410 105.00 OTHER CONT SERVICES
I _0
INVOICE
EgU%C7I7` e 7t INVOICE NUMBER 0075410
INVOICE DATE 04/12/2010 10
SALES PERSON MIKE CROWSON
8128 Castlewav Court N "est
Incliancrpolis, IN 46250 CUSTOMER NUMBER 01 -CAR01
(317) 845 -7700
Fay, (317) 845 -7704
W117w. bobblockf tness.con?
SOLD TO: CARMEL FIRE DEPARTMENT SIaIP TO: CARMEL FIRE DEPARTMENT
10701 N College Ave 10701 N College Ave
INDIANAPOLIS, IN 46280 INDIANAPOLIS, IN 46280
CONFIRM TO' DOUgIas Callahan
P.O. NUMBER PAID BY: CHECK# REI=ERENCE TERMS
DUE ON RECEIPT
ITEM DESCRIPTION ORDERED SHIPPED B/O UNIT PRICE 'DOTAL
725HRC TREADMILL SN:01- 20525K
E2 CAL E5 SENSOR
IN CALIBRATION rt 2.5 SPEED, MOTOR SLOWS DOWN
TO 1.8 -I- WHEN STEP ON IT.
MOTOR WEAK NEEDS REPLACED
LUBED DECK, CLEANED OUT MOTOR COMPARTMENT,
RAN CALIBRATION, MOTOR JERKING SLOWS DOWN
CALL WITH PRICES ASAP
/LABOR SERVICE LABOR 80.00
/TRIP SERVICE TRIP CHARGE 25.00
THAAW YOU FOR THE'' OPPORTUNITY TO BE OF SERVICE Nct Invoice: 105.00
Freight 0.00
Safes Tax: 0.00
105.00
Lcss Deposit 0.00
105.00
�..�v, msr+r� iSy� k• i�v' r ?v, ra�{ T �d e �'q� 3 -4 'i.`,t'�t���'i�3 ��i���r "I�JE��...:x��';a�i, yr�it.�..k.;r,�wa.�cv w�.. �.-a.,��,:- m-�-.: r r z
Payment Method:
ff 0/"Z I
Warranty Cash
Prepaid Check
e�1t/Te 5 ,LgL7U1P' Me17 Contract =O�To Be Billed
Credit Card
Service Work Order Technician Name: f i f
f.
8128 Castleway Court West Date: 13 —/0
Indianapolis, Indiana 46250 Chad Bement Service Manager
(800) 852 -4168 (317) 845 -7700
FAX (317)845 -7704 y
www.bobblockfitness.com D L!
Name: 01+12 -M j I j �LO Contact: J &i L) il i S
Address: 54 -0 I
L *4vo t= q (aO 3 2
Phone: (p er
Service Issue Date V j HIZ G
Services Performed Date f
)�4 IA-t Z. 11,•1 r 7U ��fl /2�3 t
a 'she may ;g, •s. p F 2 1'i„
uant�ty' cart# D,escnp ion a- t 4rq
#a d ry bsa•t ,.z.a
b s s +r's �r`�# �HI.:f k� 4 2 u� .:_w
ox v*, ,c a. P`��. �L 66x'x.s .s,� .e. azuratr, aa.`#. -.d�.. ..�,.n. �.z°s'cs.�#x ^&t ,',�^hry
Signature below indicates that the above work has been performed to the Parts Total
customer's satisfaction, that the parts listed were replaced, and that the a�7
equipment has been left in good working condition (except as noted). Service Call Fee.
Customer agrees to pay all charges not covered by manufacturer or dealer's Freight
warranties.
Customer Approval Date Trip Charge, Jc�
Sales Tax
C� TOTAL
V
White Billing Yellow Customer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bob Block Fitness
IN SUM OF
8128 Castleway Court West
I
Indianapolis, IN 46250
$105.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICi NO. ACCT #/TITLE AMOUNT Board Members
0 4 509.00 $105.00 1 hereby certify that the attached invoice(s), or
1120 0075,
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
MAY 10 2090
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.
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))
0075410 Repair Sta. 45 Treadmill $105.00
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