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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 L Technician: F T T N E C C Fi j x x Service Ticket o O f 11 4VA(1fr J TUICf A&P 9LOWN fp9 HAWSs f911ZPAFF#T 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 ha s te. a` .a' -;v� v:. "i�,'St87t.! Ime.4'.�.„c.t %df ;d�� s. WV x ..'�d�.'.- "ak Enli Tlitle l <'s!:i ga� .i' 33 ?��iEl'V.IGesTt' 6 Service Call #1 47 -.j0 �C7 "Car' iy.r r' !h 7�jr Service Call #2 >r a '`a 1 31ate1Serv�ceT�me „b1 x ti:. v r .1 w .4 +r am.,rF•3e Service Required I Trouble Reported r fie-e F C i� V� A Qt l (T t V M 0. t� I Ley �j d t� l �e Gt 1� c'� s t1 G� Actual Failure Service Performed COQ krv P d C {'tj C `i C vw ff A P re- Cor A M a Z7LO f tc�� •D i M 5't Vi h C-s bVIc keit\ c ij ev be 45 i,4e V .o te ,fi 0' 0 jr GI uc -o b �1 c^ ��rc k. n e t` e p l n� F c) vl e,� n e CL) A k x1 Vim' ffia M r m Quanki E Desch tio����` �•brder d Ex p ct d �a k•ta� .ate. 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