HomeMy WebLinkAbout192637 12/10/2010 CITY OF CARMEL, INDIANA VENDOR: 360856 Page 1 of 1
ONE CIVIC SQUARE FITNESS FIXX
CARMEL, INDIANA 46032 �0�5 e nd CHECK AMOUNT: $299.00
I 1 �i660 LANTERN RD STE 216
FISHERS IN 46038 CHECK NUMBER: 192637
'20 CHECK DATE: 12/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4350000 8210 299.00 EQUIPMENT REPAIRS M
F ITNESS FIXX
Invoice
j;
ice N
10085 Allisonville Rd Suite 205 Rate Invoo
11/19/10 8210
Fishers, IN 46038
(317) 435 -3646 DEC 1 1 2010
Bill To
Carmel Clay Parks and Recreation Carmel Clay Parks and Recreation
1235 Central Park Drive East 1235 Central Park Drive East
Carmel, IN 46032 Carmel, IN 46032
P O Number Terms Due Date
1118102JM Net 30
Description__..; :Quantity Rate Amou;nt
PM Discount Labor for one technician 4.75 50.00 237.50
Trip Charge (Round Trip) P.M. Discount 0.5 45.00 22.50
Grip for Life Fitness Strength 2 12.00 24.00
Coax Cable 1 15.00 15.00
P.O.it Mcool &tl PorF
QL• 10g1v•21. X 3 5 000
Bud at EWUip- VA
Urte
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Date rz.z.
i
D 0 6 2010
T 1
All work is complete!
Total".,* $299 00
Technician:
FITNESS FIXX
Service Ticket I v 1�
r Payment Method:
1 1650 Lantern Road/ Suite 216 Warranty Cash
Fishers, IN 46038 Contract Check
P (317) 435 -3646 F (317) 579 -0653 Prepaid To Be Billed
W www.fitnessfixx.net E service @fitnessfixx.net
Bill To j
iir e l Cie,
Customer Contact Ct
Phone 6 7 3 5 z3 (5
Addres City Stag Zip q Z 6 0
Manufacturer /Model Serial
v_° Date 2.y:.. Start.l'iine:=�.:_ ..r; Y M. _'�i,. �3.�
ServiceCall
Service Cali #2
Total Service Time
Service Required Trouble q
q uble Reported S ok t r
JA .9 a4Ad P -ZCLS oT WOV kits on '16 i4and (e5 Ord Dip
A, 55 5-� e eJ 4� i ce d
Actual Failure Service Performed
ev- due
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Date Pa Da a Parts
Quantity. Part Description.., (?rdered Expected r Amount z
Z r` c c Pry z `L-� o
Signatures below indicate that the above work has been performed to the customer's satisfaction, Parts Total
that the parts listed were replaced, and that the equipment has been left in good working condition Service Call Fee C
(except as noted). Customers ag s to pay all charges not covered y manufacturer or dealer's Technical Service Q /hr Z 7 5 d
warranties. Travel hrs. t- 1 'j /hr
I1 -1 -�Q
Service Technician Date Sales Tax
1 5
CustomerApprov e i Total
Wh ite Billing, Yellow Cus m 9
2 la. M CO"lX q 1 c 61 7
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
11/19/10 8210 Fitness equipment service 299.00
Total 299.00
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
Voucher No. Warrant No.
360856 Fitness Fixx Allowed 20
10085 Allisonville Rd, Suite 205
Fishers, IN 46038
In Sum of
299.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -21 8210 4350000 299.00 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
1 -Dec 2010
Signature
299.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund