191995 11/23/2010 F CITY OF CARMEL, INDIANA VENDOR: 026625 Page 1 of 1
ONE CIVIC SQUARE BOB BLOCK FITNESS EQUIP
°I CHECK AMOUNT: $18,070.00
CARMEL, INDIANA 46032 aiza cnsrLEwAV couRr wFSr
4 .oN Go; INDIANAPOLIS IN 46250 CHECK NUMBER: 191995
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 24136 0022861 18,070.00 WEIGHT EQPT
ff"& ffl" C 71C INVOICE
INVOICE NUMI3L-'R 0022861 -IN
INVOICE DATE 11/16/2010
8128 Castlewav Cozcrz 0,est SALES PERSON TIM RAGAN
Indianapolis, IN 46250 CUSTOMER NUMBER 01 -CAROI
(3 17) 845 -7700
Fax: (317) 845 -7704
www. bobblockjitness. coirl
SOLDTO: CARMEL FIRE DEPARTMENT SHIPTO: CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
CONFIRM TO: Denise Snyder
P.O. NUMBER PAID BY: CHECK# REFERENCE TEII MS
241 DUE ON RECEIPT.
ITEM DESCRwTiON ORDERED SHIPPED B/O UNIT PRICE TOTAL
OC3700 PRO OCTANE 3700 PRO BASE CONSOLE 5 5 0 3,550.00 17,750.00
STATION 42 -02 L1 007 1 504506 -0 1
STATION 44:_F10081404473 -02 L10071504487 -01
STATION 43:_F 10071404430 -02 L 1 007 1 50443 7 -0 1
STATION 46: 10081404478 -02 L 1007 1504504-0 1
STATION 41: F10071404432 -02 L10071504438 -01
THANK YOU FOR THE OPPORTUNITY TO BE OFSERVICE Net Invoice: 17.750.00
Freight: 320.00
Sales Tax: 0.00
18,070.00
Less Deposit: 0.00
18,070.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bob Block Fitness
IN SUM OF
8128 Castleway Court West
Indianapolis, IN 46250
$18,070.00.
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
24136 0022861 102- 670.99 $18,070.00 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
NOV 2 2 9010
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))
0022861 $18,070.00
I 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