HomeMy WebLinkAbout185821 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 364209 Page 1 of 1
ONE CIVIC SQUARE JOHNSON HEALTH TECH NA INC CHECK AMOUNT: $875.00
CARMEL, INDIANA 46032 1600 LANDMARK DRIVE
COTTAGE GROVE WI 53527 CHECK NUMBER: 185821
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350000 100275866 875.00 EQUIPMENT REPAIRS M
Johnson Health Tech NA, Inc. 71
j Z X�X_ 1600 Landmark Drive ProFornita IN l
Cottage Grove, WI 53527
JOHNSON Phone: 608- 839 -1240
Fax: 608- 839 -8687
Document 100275866
Date: 5/5/2010
Page 1
'Bill To: Carmel -Clay Parks and Recreation Ship To: Carmel -Clay Parks and Recreatic
Monon Community Center Monon Community Center
1235 Central Park Drive East 1235 Central Park Drive East
Carmel IN 46032 Carmel IN 46032
Comment:
Shipping Comment:
Purchase Order No. Customer ID Sales Person ID Shipping Method Terms Reg Ship Date
Qty Model Number Item Number Description List Price Net Unit Price Ext. Price
1 MX15 -DTV ZMD3002555 Matrix 15" TV $1,495.00 $850.00 $850.00
1 93108 Control Box $8325 $0.00 $0.00
1 93285 Digital Dispatch Roll Wire $14.98 $0.00 $0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Pu chase $0.00
Dc scrIption $0.00
P. ?55g2 4'__'�o $0.00
G. .14 BL aet $o.00
$o.00
Pu haser Da$0.00
A royal Da
I $o.ao
$0.00
I $0.00
$0.00
$0.00
C $0.00
Trade Disc $0.00 Freight $25.00
THANK YOU Misc /Duty 0 Freight Disc. $0.00
Remit To: Other Fees 0 Tax $0.00
Johnson Health Tech NA, Inc. Subtotal $850.00 Total (u$D) $875.00
16 00 Landmark Drive
Cottage Grove, WI 53527
A Service Charge of 1.5%
Per Month Will Apply To All
Delinquent Balances.
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.
Johnson Health Tech NA, Inc. Terms
1600 Landmark Drive
Cottage Grove, WI 53527
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5!5!10 100275866 Television replacement 23542 875.00
Total 875.00
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.
Johnson Health Tech NA, Inc. Allowed 20
1600 Landmark Drive
Cottage Grove, WI 53527
In Sum of
875.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1093 100275866 4350000 875.00 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
20 -May 2010
Signature
87550 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund