HomeMy WebLinkAbout191707 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 364209 Page 1 of 1
ONE CIVIC SQUARE JOHNSON HEALTH TECH NA INC
CARMEL, INDIANA 46032 1600 LANDMARK DRIVE CHECK AMOUNT: $3,131.00
COTTAGE GROVE W 53527 CHECK NUMBER: 191707
CHECK DATE: 1111012010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOU DESCRIPTION
1096 4237000 9000647578 3,131.00 REPAIR PARTS
K Johnson Health Tech NA Inc. INVOICE
1600 Landmark Drive Document 9000647578 Cottage Grove, WI 53527
JOHNSON Phone: 608 839 -1240 Date 10/13/2010
Fax: 608 -839 -1260 Page 1 of 1
Bill- To: 33001910� Ship-To: 33001910
CARMEL CLAY PARKS AND REC d'- l"/ CARMEL CLAY PARKS AND REC
1411 E 116th St OC 2 0 201 Lindsay
Central Willard
Carmel, D r E
Carmel, IN 46032 1235
Carmel, IN 46032
BY........................
Comment:
Shipping Comment:
Purchase Order No. Sales Order No. Sales Person ID Shipping Method Terms Due Date
23940 100315810 GLTM (GreatLakes -TM) UPS GROUND Net 30 11/12/2010
LN# Qty. Model Number Item Number Description List Price Net Unit Price Ext. Price
,0010'' 3, MX15 -DTV. ZMD3002555 TV -15" Matrix Mye 1,495.00 850.00,: 2,550.00'
Serial Number(s): MX15DTV10082243
MX15DTV10082244
MX15DTV10082245
0020 3 0000093108 Control Box;TV07 83.25 99.00 297001
0030 3 0000093285 Digital Dispatch Roll 14:98 0.00 0.00
Wire; 800L;RJ45;TV0
Nret l ow
pest Iptlon I
R,O, 4 P o
ca.t.
Bud. et
Line Descr
Purchaser Date
App al Date
Remit To: Trade Disc. 0.00 Freight '284(00
Johnson Health Tech NA Inc. Misc./Duty 0.00 Freight Disc. 0.00
1600 Landmark Drive Other Fees 0.00 Tax 0.00
Cottage Grove, WI 53527 1 3 1 1 4>
Subtotal 2,847.00 T,otah. USD �_,�,3 131:00
A Service Charge of 1.5% Per Month
Will Apply To All Delinquent Balances
VISION FITNESS. I X
A z
FI TNESS
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.
364209 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
10/13/10 9000647578 Fitness tvs 23940 3,131.00
Total 3,131.00
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.
364209 Johnson Health Tech NA, Inc. Allowed 20
1600 Landmark Drive
Cottage Grove, WI 53527
In Sum of
3,131.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1096 -21 9000647578 4237000 3,131.00 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
4 -Nov 2010
Signature
3,131.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund