186209 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 026625 Page 1 of 1
ONE CIVIC SQUARE BOB BLOCK FITNESS EQUIP
io CARMEL, INDIANA 46032 8128 CASTLEWAY COURT WEST CHECK AMOUNT: $4,100.00
INDIANAPOLIS IN 46250 CHECK NUMBER: 186209
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 12790 0022281 4,100.00
d
ff"A E 71C INVOICE
C INVOICE NUMBER Q0222$ 10 Eq INVOICE DATE 05/28/20
5128 Costlewav Court West SALES PERSON TIM RAGAN
Indianapolis, IN 46250 CUSTOMER NUMBER 01
(317) 845 -7700
Fax: (317) 845 -7704
ivivw, bobblockf lness. cony
SOLD TO: CARMEL FIRE DEPARTMENT SHIP TO: CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 540 W 136TH STREET
CARMEL, IN 46032 CARMEL, IN 46032
CONEIRM TQ_ David Mead _571 -2625
P.O. NUMBER PAID BY: CHECK# REFERENCE TER
12790 DUE ON RECE
ITEM DL'SCRIPTION ORDERED SHIPPED B/O UNIT PRICE TO "I'AL
TRCS500T2W CS500 TREADMILL 2 WINDOW I 1 0 4,100.00 4,100.00
DISPLAY
WARRANTY: 5 YEARS PART I YEAR LABOR
SERIAL 4: 10- TCS500105D
SERIAL 9: 10- 300403E
INSTALLED BY: BEN JOSHUA
THANK YOU FOR THE OPPORTUNITY TO BE OFSERVICE Net invoice: 4.100.00
Freight: 0.00
Sales Tax: 0.00
4,100.00
Less Deposit: 0.00
4,100.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bob Block Fitness
IN SUM OF
8128 Castleway Court West
Indianapolis, IN 46250
$4,100.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# /Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
12790 0022281 102- 670.99 $4,100.00 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
IN 2010
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. 1995)
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))
0022281 $4,100.00
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