HomeMy WebLinkAbout196335 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 360856 Page 1 of 1
ONE CIVIC SQUARE FITNESS FIXX CHECK AMOUNT: $383.15
s` CARMEL, INDIANA 46032 10085 ALLISONVILLE ROAD SUITE 205
FISHERS IN 46038 CHECK NUMBER: 196335
CHECK DATE: 4/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4350000 8657 200.00 EQUIPMENT REPAIRS M
1096 4350000 8711 183.15 EQUIPMENT REPAIRS M
�d Invoice
FITNESS FIx
10085 A1lisonVille Rd Suite 205 �1 7 2011 date 06
03114/11 1 8657
Fishers, IN 46038
(317) 435 -3646 L:
BiII To Shrp To
Carmel Clay arks and Recreation
Y .Carmel Clay Parks and Recreation
1235 Central Park Drive East 1235 Central Park Drive East
Carmel, IN 46032 Carmel, IN 46032
P O Nuriber Terms Due Date
310114JM Net 30 04/13111
Descnpt�on; Quantity Rate Amount
Service Call Fee 1 177.50 177.50
Trip Charge (Round Trip) P.M. Discount 0.5 45.00 22.50
MA GO11
BY:
Purchase 9ti f ✓1t
Descript
P.O.i J'iQ 00 11a 11' Pere
CLLR l o°Ib.ZI. 3SooOO
Budgeffit
Lr1a Do
Purchaser
Appm
Total $200 00
Technician: �J Lv".
FITNESS �Service Ticket A r
r Payment Method:
11650 Lantern Road/ Suite 216 Warranty Cash
Fishers, IN 46438 Contract Check
P (317) 435 -3646 F (317) 579 -0653 Prepaid �t o Be Billed
W www.fitnessfixx.net E service @fitnessfixx.net
Bill To
Customer Contact e Phone
r
Address d C- V' 1 ty A e M e State zip
r
'Z y y
Manufacturer /Model Serial
MW 1T:^V Q VW.ZA tart T ine b r �d;l a i£nd;7 Fn Ser33ce e�
Service Cali #1 3 �l p^
Service Call #2 I 5
`T"thOwS s l' s ^,5* rTotaltServlce T�S'aie
.�r .,�:.��of�»�- ��:,s��s 3:..,'•'a.�
Service Required (Trouble Reported C
cz e r cif 2-0- E Z5 1247 lefAA
d' ja. Cyt�f'Srl
j e L)zl rr' Se 4- A'
C f 1 H P— O Vd O
Actual Failure Service Performed
S 'S 1 V i Ct 'J�(0
C' k O e V- 4r- V +C V �i 0 v e s o o c 41 a J e 4 C r 7 5 e T T eft T 1 i'l I Q,1 e> e l
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nz
s�''";6,. x o. F o; �x.: 1 t�'., t- g+�n+,ca `"'�*s%. 9'��`�'
aa' Des,criphvn E as "a Ordereii' t= zpected :�z�Amouni
z 2S i1 /hr- v, e f Vi c} 5 a
D� i La SE c
Signatures below indicate that the above work has been performed to the customer's satisfaction, -Parts�v3al
that the parts listed were replaced, and that the equipment has been left in good working condition T o 1 0. Service Call Fee 1 7 T6
1
(except as noted). Customers agrees to pay all charges not covered by manufacturer or dealer's Technical Service lhr
warranties. r� Travel hrs. S lhr 2 Z 5
Service Technician Date �j `i r r Sales Tax
Customer A royal Date�'y 0 C V
PP dM. ,aTotat
White Billing, Yellow Customer
F ITNESS FIXX
Invoice
Date lnvolce`No
10085 Allisonwlle Rd Suite 205 MAR 2 Q
03/23/11 8711
Fishers, IN 46038
(317) 435 -3646
Bilt'.To Ship Ta
Carmel Clay Parks and Recreation Cannel 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 bate
323112AL Net 30 04/22111
Descrrpt►on Quarrtity Rate Amount
Matrix H5 Seat Pin 1 12.95 12.95
Matrix H5 shouder bolt 1 3.00 3.00
Matrix Hybrid Seat Spring 1 5.95 5.95
General Labor charge for 2 technician with PM discount applied 1.5 85.00 127.50
Trip Charge (Round Trip) P.M. Discount 0.75 45.00 33.75
V H t' I
BY: Purchase
Description
P.O. I
G.L. lo. 21. 3S 40D P orF
Bud gat
Line peso e
Purchaser Date 4. 1. I
Approv Date y II
Total.-
Technician: t'�i" f jY►
ES FI XX Service Ticket dDAtlTf S£9f1fe'dAt S Fl j
Payment IV4ethott:
11550 Lantern Road/ Suite 216
Fishers. IN 46038 -Warranty Cash
Contract Check
R (317) 435 -3846 F (W) 575 -0653 Prepaid To Be allied
W www,filnessflxx.net t E service@fitnessfixx.net
Siff To 7:
Customer Conflict Phone
.Ir-- f j =-.r 1. `;7�� 'j L
Address t C t City State Zip f 7
r \'1� 1 i L. r y a �i 4 ti 1 i
Manufacturer/FRodel Serial
Service Calf #I '?2 L t i w _L? t
Service Call fil IS Ili
Service Required l Trouble Reported
fL 1t'CX mot_ �i� i }sue
Actual Failure B Service Performed f t t
;4* 7 L? l -t. `S t i L T �Y t i :v c �1 j
U s S =i 4 l' j t s� i t t.) i ti
`;V "t c•.. t r%1�- ltti 1 y'(-S•`s fl... t1 is� lv`�L. 1 j� f'
7
fz.55
t A4-v• 'mat
�t i OT t�f
Signatures below indicate that the above work has been parformit to the customer's satisfaction,
Farts Total
'bat the parts lisled were replaced, and that Om equipment has been left in good working condition 7 :L mac.• 5ervkx Cali Fen
(except as noted). Customers agrees fa pay all charges not covered by manidbcturer ar dealer -s g r j
warranties. Technical Serrlae LL Jhr
7 Travel
i j hr6. S f5 '1 'T
Sarv7co7eohntcfan f ,f.- L._.... [)ate
L Agvl i ft Sales Tax
Customer A 3,25 1
Ap proval a
Wh OFnrng Yellow customer
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
3/14/11 8657 Equipment repairs 200.00
3/23111 8711 Equipment repairs 183.15
Total 383.15
1 hereby certify that the attached in 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
383.15
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -21 8657 4350000 200.00 1 hereby certify that the attached invoice(s), or
1096 -21 8711 4350000 183.15 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
7 -Apr 2011
�Jc l k��
Signature
383.15 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund