191559 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 026625 Page 1 of 1
ONE CIVIC SQUARE BOB BLOCK FITNESS EQUIP CHECK AMOUNT: $347.50
i. CARMEL, INDIANA 46032 WS CASTLEWAY COURT WEST
INDIANAPOLIS IN 46250 CHECK NUMBER: 191559
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 0022867 169.00 OTHER EQUIPMENT
1120 4350900 0077055 -IN 178.50 OTHER CONT SERVICES
7& MIA 7d: l7f INVOICE
�q�I��7er7t INVOICE NUMBER 0022$67 -IN
c nmeag 1 INVOICE DATE 10/28/2010
8128 Castlewa1 Court lVest SALES PERSON TIM RAGAN
Indianal3olis. IN 46250 CUSTOiNgER NUMBER 01 CAR01
(317) 845 -7700
/;'ax: (317) 845 -7704
www.
SOLD TO: CARMEL FIRE DEPARTMENT SI -111 TO: CARMEL FIRE DEPARTMENT
2 Civic Square 5032 East Main
CARMEL, IN 46032 CARMEL, IN 46033
CONFIRM TO: Jared Kinney 750 -5585
1 NUMBER PAID BY: C1 -IECK# REFERENCE TERMS
DUE ON RECEIPT
ITEM DESCRIPTION ORDERED SHIPPED 13/0 UNI`I`PRICE TOTAL,
HAMIB8615CZ ZINC T OLYMPIC BAR (15009) I I 0 169.00 169.00
THAA'/C YOU FOR THE OPPORTUNITY TO BE OFSER VICE Net Invoice: 169.00
Freight: 0.00
Sales Tax: 0_00
169.00
Less Deposit: 0.00
169.00
FA: &7 INVOICE
INVOiCI? NiJME3ER 0077055 -IN
INVOICE DATE 10/19/2010
SALESPERSON MIKE PINE
8128 Custlewn�v Court Yl�est
Indiunupolis, IN 46250 CUSTOMS -R NUMBER 01- CCAR01
(317) 845 -7700
Fax: (317) 845 -7704
www.bobblockfitness.com
SOLD TO: CARMEL FIRE DEPARTMENT SHIP TO: CARMEL FIRE HEADQUARTERS
2 Civic Square 2 Civic Square
CARMEL, IN 46032 CARMEL, IN 46032
CONFIRM TO:
P.O. NUMBER PAID BY: C1 IECK9 REFERENCE TERMS
DUE ON RECEIPT
ITEM DESCRIPTION ORDERED SHIPPED 13/0 UNITPRICE "TOTAL
SERVICE CALL ON 10/19/10 BY MIKE PINE
(2) 725 TREADMILLS REPLACED POWER CORDS ON
BOTH TREADMILLS
/MISC PARTS POWER CORDS 2 2 0 33.00 66.00
/LABOR SERVICE LABOR 80.00
/TRIP SERVICE TRIP CHARGE 25.00
THANkf YOU FOR �T!!C OPPORTUNITY TO BE OF SERVICE Net I 171.00
Freight: 7.50
Sales Tax: 0.00
178.50
Less Deposit: 0.00
178.50
VOUCH NO. WARRANT NO.
ALLOWED 20
Bob Block Fitness
IN SUM OF
8128 Castleway Court West
Indianapolis, IN 46250
$347.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE N0. ACCT #!TITLE AMOUNT
Board Members
1120 0077055 -IN 43- 509.00 $178.50 1 hereby certify that the attached invoice(s), or
1120 0022867 102 670.99 $169.00 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
NOV -8 2010
c
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))
0077055 -IN Repair Sta. 41 Treadmills $178.50
0022867 Weight Bar Sta. 44 $169.00
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