HomeMy WebLinkAbout193094 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 360856 Page 1 of 1
0 ONE CIVIC SQUARE FITNESS FIXX
CARMEL, INDIANA 46032 10085 ALLISONVILLE ROAD SUITE 205 CHECK AMOUNT: $85.00
FISHERS IN 46038
CHECK NUMBER: 193094
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4350000 8234 85.00 EQUIPMENT REPAIRS M
MGOOs 1 4 ZO
FITNESS Fixx
Invoice
s
..I N No
10085 Allisonville Rd Suite 205
Fishers, IN 46038 11/29/10 8234
(317) 435 -3646
Bill To Shia 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:Q Number Terms Due Date
1124103AL Net 30
Description Quantity Rate Amount
Preventative Maintenance Discounted Service Call Fee 1 85.00 85.00
Purchase t
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esar
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OR. 15110
Total $85 00:
Technician: 1 r rOA
F F I Service Ticket 1 f Z 1� ,4 L
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Payment Method:
11650 Lantern Road/ Suite 216 warranty Cash
Fishers, IN 46038 Contract Check
P .(317) 435 -3646 F (317) 579 -0653 Prepaid -A;z Be Billed
W www.fitnessfixx.net E service @fitnessfxx.net
Bill To
Gil F Wt e,
Customer Contact Phone
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Manufacturer /Model Serial
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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 Leff in goad working condition
Service Call Fee 3
(except as noted). Customers agrees to pay all charges not covered by manufacturer or dealer's Technical Service Ihr
warranties. v EL Travel hrs Ihr
Service Technician Date Sales Tax
N
Customer Approval
Date t Total.
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 Ailisonville Rd, Suite 205
Fishers, IN 46038
Invoice invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
85.00
11129110 8234 Fitness equipment service
Total 85.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 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 Alfisonville Rd, Suite 205
Fishers, IN 46038
In Sum of
85.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -21 8234 4350000 85.00 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
16 -Dec 2010
Signature
85.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund