191800 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 353696 Page 1 of 1
ONE CIVIC SQUARE POWER SYSTEMS INC CHECK AMOUNT: $310.85
CARMEL, INDIANA 46032 PO BOX 51030
KNOXVILLE TN 37950 -1030 CHECK NUMBER: 191800
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4238000 1100050 310.85 SMALL TOOLS MINOR E
2 P OW t 985 -20,T1 P, P.O. Box 5103
mg
Knoxville, A 37950 INVOICE
1119M
1 -800- 321 -6975 1100050
AaNivswssr r (865) 759 -8223 10/27/2010
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(86S)7 69-8211 FAX 1 of 1
Bill To: CARMEL CLAY PARKS and RECREATION Ship To: RECEIVING
ACCOUNTS PAYABLE CARMEL CLAY PARKS and RECREATI
1411 E 116TH ST 1235 CENTRAL PARK DR E
CARMEL, IN 46032 -7611 CARMEL, IN 46032 -4421
USA USA
277792 aeb 10/27/2010 Net 30 Days 11/26/2010 24042 2592409
1 84060 Versa -Tube Medium Red 50 50 0 EA 7.00 350.00
Q TX 0 9 1
NOV 0 1 2010
BY:
Purchase
Descdptfon DSO �171VI t rn 11
Po P rF
Budget
Line Des
Purchaser Date
Approval Date L,
$350.00 $52.50 $13.35 $0.00 $0.00 $310.85
COMMENTS
r_ar_mprint_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
10/27/10 1100050 Fitness equipment 24042 310.85
Total 310.85
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
310.85
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -21 1100050 4238000 310.85 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
Y Signature
310.85 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund