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185729 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 360856 Page 1 of 1 ONE CIVIC SQUARE FITNESS FIXX CHECK AMOUNT: $254.75 s ?a CARMEL, INDIANA 46032 11650 LANTERN RD STE 216 FISHERS IN 46038 CHECK NUMBER: 185729 CHECK DATE: 5126/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4350000 7532 148.75 EQUIPMENT REPAIRS M 1096 4350000 7554 106.00 EQUIPMENT REPAIRS M YF ITNESS Invoice FIX -a' 01 1l650Lantem.Rd-, !fr SffV1ff Af,0 RM415f fOR HAAr S 4911i lfffl" Ste- 216 DATE INVOICE Fishers, IN 46038 (317)435 -3646 4/29/2010 7532 BILL TO SHIP TO Carmel Clay Parks and Recreation Carmel Clay Parks and Recreation 1235 Central Park Drive East 1235 Central Part: Drive Fast Carmel, IN 46032 Carmel, W 46032 P.O- NO, TERMS DUE DATE 428103AL Net 30 5/29/2010 DESCRIPTION QTY RATE AMOUNT General Labor charge for 2 technician with PM discount applied 1.75 85.00 148.75 Qescript oil ?2143 I: a. I Ls. �.L• ys_o_ Bud gg Line T7estx i II,Z Purchaser Date—fiLi/jO Approva Dat T©ta 6 $148.75 Invoice tlUAlflY SEHYrCf AN6 BEPA/A f09 F1lA+fSI fOUiP!/EMT DATE INVOICE 11650 Lantern Rd W'- 216 Fishe W 4 '(3.17}435 =364 57512010 7554 BILL TO SKIP TO Carmel Clay Parks and Recreation Carmel Clay Parks and Recreation 1235 Central Park Drive East 1235 Central Park Drive East Carmel, IN 46032 Carmel, IN 46032 P.O. NO. TERMS DUE DATE 504102AL Net 30 6!4/201.0 DESCRIPTION QTY RATE AMOUNT Service Call Fee 1 90.00 90.00 Bolts I 16.00 16.00 Deseripti 1 4 7) GI L V 71. �SGO) o t nnen ®��rrnni® a�a Line Desar All work is complete! TTotal 106:a0 7 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 4/29110 7532 Fitness equipment maintenance 22943 148.75 5/5110 7554 Fitness equipment maintenance 22943 106.00 Total 254.75 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 254.75 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1096 -21 7532 4350000 148.75 i hereby certify that the attached invoice(s), or 1096 -21 7554 4350000 106.00 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 20 -May 2010 Signature 254.75 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund