185728 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 361764 Page 1 of 1
ONE CIVIC SQUARE FITLINXX CHECK AMOUNT: $1,290.00
CARMEL, INDIANA 46032 3 ENTERPRISE DRIVE, STE 401
SHELTON CT 06484 CHECK NUMBER: 185728
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4341955 1215351 1,290.00 INFO SYS MAINT /CONTRA
Page 1 of 1
INVOICE Invoice Number 121535 -1
Alt ORIGINAL Order Number 121535
r���� Invoice Date 04114/2010
Customer Number 2927
542 Westport Ave. Norwalk, CT 06851 Ticket Ref S81584
(203) 708 5145 Phone
(203) 604 1282 Fax Customer Contact:
billing @fitlinxx.cam Email Freight Code: Prepaid 8 Allowed
F.O.B.: Destination Date Entered: 02/2312010
I T Carmel /Clay Parks Recreation S T Carmel /Clay Parks Recreation
N O 1235 Central Park Drive East H O 1235 Central Park Drive East
V Carmel, IN 46032 1 Carmel, IN 46032
O P
I
C MARK:
E
LINE UNIT EXTENDED
N0, MFG PART NO. DESCRIPTION ITEM NO. QTY PRICE RATE PRICE
Kiosk Gumby- 02 /01 /10- arothman
Need printer cable for HP 1320 to USB- 101 /10 -arot iman
S81584
1511045S Server -GX620 Refurb 1.0 450.00 450.00
2511035S Trnr /Ksk,GX620 sf Refurb 1.0 450.00 450.00
3511035S Trnr /Ksk,GX620 sf Refurb 1.0 450.00 450.00
5541042 NIC,Gig PCI Low Profile 1.0 .00 .00
6132003 Cable, Printr USB- Parall 1.0 .00 .00
7 SV Service Visit (First Day) 1.0 995.00 995.00
8 S/H Shipping Handling FL -SAH 1.0 45.00 45.00
9 DISC Discount 1100.00 1100.00
Purchase J
Description i" I i l A v
P.O. J P R
t3.! 1091 .?-I
_L
Bud
Une1Descr
Purchaser Q S t?
APP
PAYMENT TERMS: Due upon Receipt SUBTOTAL: 1,290.00
REMIT TO: Pitlinxx, InC. TAXES: .00
3 I rlterprise Drive, Ste. 401 TRANSPORTATION CHARGES: .00
Shelton. CT 064S4
INVOICE TOTAL AMOUNT 1,290.00
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,
361764 Fitlinxx
3 Enterprise Drive, Ste 401 Date Due
Shelton, CT 06484
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4114110 1215351 Fitlinxx Upgrade 22566 F 1,290.00
Total 1,290.00
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,
Allowed 20
361764 Fitlinxx
3 Enterprise Drive, Ste 401
Shelton, CT 06484 In Sum of
n- ew_addre ss 2
1,290.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. kCCT #/T1TLI AMOUNT Board Members
Dept
1096 -21 1215351 4341955 1,290.00 1 hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20 -May 2010
Signature
1,290.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund