191126 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 026625 Page 1 of 1
ONE CIVIC SQUARE BOB BLOCK FITNESS EQUIP CHECK AMOUNT: $105.00
y ro CARMEL. INDIANA 46032 8128 A T
INDIANAPOL A CSO C O UR T WEST
CHECK NUMBER: 191126
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 0076844 105.00 OTHER CON'T' SERVICES
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E qu i PMP [7 INVOICE NUMBER 00768
L INVOICE DATE o9/29/z
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8128Cas•ihnvm)Crnrl Gres! SALES P]>RSON MIKE PINE
Indianapolis, 11,'46250 CUS"I 01 CAROL
(317) 845 7700
Fax: (317) 84 -7704
irri i; bobbl ock f irness. c•onz
SOLD "TO: CARMEL FIRE DEPARTMENT SI -111 TO: CARMEL FIRE DEPARTMENT
10701 N College Ave 10701 N College Ave
INDIANAPOLIS, IN 46280 INDIANAPOLIS, IN 46280
CONFIRM TO: Douglas Callahan
P.O. NUMBER PAID BY: CHF1 CK# REI'ERI NCE TERMS
DUE ON RECEIPT
DESCRIPTION ORDERI ?:D SHIPPED 13/0 UNTIT PRICF "TOTAL
SERVICE CALL ON 9/28/10 BY MIKE PINE
TRUE 725 TREADMILL PULLEY BROKE LOOSE FROM
MOTOR. R WAS RUBBING ON THE FRAME
MOVED PULLEY [SACK OVER R RE-TIGHTENED SET
SCREWS
iLABOR SERVICE LABOR 80.00
ITR1P SERVICE TRIP CHARGE 25.00
T11AAW YOU FOR 7HL OPPOR7UN17'Y 7013E OF SER I/ICL Net Invoice: 105.00
F reight: 0.00
sales 7 "ax: 0.00
10 5.00
Less Deposit: 0.00
105.00
VOUCHER NO. WARRANT NO,
ALLOWED 20
Bob B_ lock Fitness
IN SUM OF$
8128 Castleway Court West
Indianapolis, IN 46250
$105.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT
Board Members
1120 0076844 43- 509.00 $105.00 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
OCT 2 X898
f ,rl c
p r
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))
0076844 Sta, 45 Treadmill $105.00
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