186475 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 353696 Page 1 of 1
0 ONE CIVIC SQUARE POWER SYSTEMS INC CHECK AMOUNT: $203.59
s' +a CARMEL, INDIANA 46032 PO BOX 51030
KNOXVILLE TN 37950 -1030 CHECK NUMBER: 186475
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239099 1036697 203.59 OTHER MISCELLANOUS
MMR P. 0.I;lxW33' INVO
1 -800 -321 -6975 1036697
�/�aq (865) 769 -8223 4/30/2010
�e7 i a� Q (865) 769 -8211 FAX 1 of 1
www.power-systems.com
Email to fitness @power- systems.com
Bill To: CARMEL, CITY OF Ship To: RECEIVING
ACCOUNTS PAYABLE CITY OF CARMEL
1 CIVIC SQ MONON CENTER /LINDSEY WILLARD
CARMEL, IN 46032 -2584 1235 CENTRAL PARK DR E
USA PO 23339
CARMEL, IN 46032 -4421
USA
Isom e. e. o
432743 amm 3/30/2010 Net 30 Days 5/30/2010 23339 2526593
1 90810 Deluxe Club Mat 72" L x 36" W x 2" thick Jet BI 2 2 0 EA 99.95 199.90
Purchase C
Description P4 NW
P.O. a Pore
G.L.
Budget �Oe
Line escr
Purchaser Date
Approval Date o
$199.90 $20.00 $23.69 $0.00 $0.00 $203.59
COMMENTS
r_ar_invprint_us A 1.5% Finance Charge or a $5.00 minimum charge will be applied to all balances over 30 days.
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.
353696 Power Systems Terms
P.O. Box 51030
Knoxville, TN 37950
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4/30110 1036697 Fitness Equipment 23339 203.59
Total 1 203.59
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.
353696 Power Systems Allowed 20
P.O. Box 51030
Knoxville, TN 37950
In Sum of
203.59
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO #or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1096 -21 1036697 4239099 203.59 I 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
3 -Jun 2010
Signature
203.59 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund