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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 Descri Ln!L2.�.....�.... P.O. 0 M COO I I O or F o.L loglo.2�. �t3S0000 esar 1. it and pat 1 3 Zol o Purch gPPro p ate 1_? zu 10 OR. 15110 Total $85 00: Technician: 1 r rOA F F I Service Ticket 1 f Z 1� ,4 L UUA! /TYSfll AfIU li`EPA /A FUR f/TU FfIU /PtIFNT Payment Method: 11650 Lantern Road/ Suite 216 warranty Cash Fishers, IN 46038 Contract Check P .(317) 435 -3646 F (317) 579 -0653 Prepaid -A;z Be Billed W www.fitnessfixx.net E service @fitnessfxx.net Bill To Gil F Wt e, Customer Contact Phone Address City State tj Zip f J Manufacturer /Model Serial b r F,nd:?TlillB�.k,� �.,:"`,``».e'9 Y$BCVIGB IfnEr Service Call #3 Service Call #2 w r u 5 S� p Total�Se :y Tarns az� �''rti`S';.' `?t: _'4�v� k'ti5,. -`o� <r:,:se.w r s,..a. .r<.,L•d.� Service Required Trouble Reported ,I A e- `p tv E C l� C► l�/ (/S Ole t. J V GIB la G� i��+ z �j r7 O' e i �e.- Xf r, ti✓ t✓G /5 7' c "6''r Actual Failure Service Performed LC) Q 0 G YBE 3 0 C Ck �`s f •err ec-� f 6/� 44 l VLC 1 vdrst le FL C) S b b[ "L o ti N p 1 °t C. e e�' C1 i1 6 If Ca I. 5e 5crecj5 Y n d di S r �►J 5 t o a: f ur• A: pate ParEs" Date�Parts s s x eathd, 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