HomeMy WebLinkAbout192064 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 360856 Page 1 of 1
ONE CIVIC SQUARE FITNESS FIXX
CHECK AMOUNT: $287.90
CARMEL, INDIANA 46032 11650 LANTERN RD STE 216
FISHERS IN 46038 CHECK NUMBER: 192064
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4350000 8101 287.90 EQUIPMENT REPAIRS M
Y,
FITNESS FIXX
In voice
17&4?1f! jilw1:1 441 AfP,U/! FOR F/I,VCSJ fQUwlq V!
Date Invoice No.
1:0085 Allisonville Rd 205
Fishers, IN 46038 �7 10/19/10 8101
(317) 435 -3646
Bill To: :r Ship To
Carmel Clay Parks and Recreation Carmel Clay Parks and Recreation
1235 Central Park Drive East 1235 Central Park Drive East
Cannel, IN 46032 Carmel, IN 46032
P.O. Number Terms. Due Date
1019101 JM Net 30
Description Quantity Rate Amount
PM Discount Labor for one technician 3.75 50.00 187.50
Trip Charge (Round Trip) P.M. Discount 0.5 45.00 22.50
Bike Pedal for Matrix Bike 2 22.95 45.90
Set of Pedal Straps Left and Right 2 16.00 32.00
Purchase sxw r
Description A
P.v.r Mcao►31o1 PorF
&L# 1O9 to. 7, 350 oo0
Budget
Una
Purchasor Ol3'l. dl. Date 11 1 Z0 O
APPS Date IQ Y1;
NOV U 010
BY:.........:.
papnq
0 1'0
AAd 8*ffd
Total $287:9,0
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Technician:
F T T N E C C Fi j x x Service Ticket o O f
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r Payment Method:
F
11650 Lantern Road! Suite 216 Warranty Cash
Fishers, IN 46038 Contract Check
P (317) 435 -3646 F (317) 579 -0653 Prepaid X o Be Billed
W www.fitnessfixx.net E service @fitnessfixx.net
Bill To I f/ 5 c
Customer Contact L �1 Phone
Address City a' tom! E State zip L 1 r? 0
Manufacturer /Model Serial
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Signatures below indicate that the above work has been performed to the customer's satisfaction, Parts Total 77 2 0
that the parts listed were replaced, and that the equipment has been left in good working condition Service Call Fee
(except as noted). Customers agre stop y all charges of covered manufacturer or dealers Technical Service $!�O !hr
0
warranties. Travel r hrs. 7 -6 1hr
Service Technician Date I a Sales Tax
10 3 Z
Customer Approval a Date�47otst�
White Billing, Yellow Customer
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.
360856 Fitness Fixx Terms
10085 Allisonville Rd, Suite 205
Fishers, IN 46038
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
10/19/10 8101 Fitness equipment service 24067 287.90
Total 287.90
1 hereby certify that the attached invoice(s), or bill 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.
360856 Fitness Fixx Allowed 20
10085 Allisonville Rd, Suite 205
Fishers, IN 46038
In Sum of
287.90
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -21 8101 4350000 287.90 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
18 -Nov 2010
Signature
287.90 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund