165665 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 026625 Page 1 of 1
ONE CIVIC SQUARE BOB BLOCK FITNESS EQUIP
41 CARMEL, INDIANA 46032 8128 CASTLEWAY COURT WEST CHECK AMOUNT: $105.00
INDIANAPOLIS IN 46250
CHECK NUMBER: 165665
CHECK DATE: 11/12/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMO DES
1110 4350000 18970 6 96971 105.00 MACHINE REPAIRS
TWOICE
�etnes� E c�clit�r�ent
INVOICE DATE ER 10/24/2008
8128 Castleway Court West SALESPERSON DON VIVIRITO
Indianapolis, IN 46250 CUSTOMER NUMBER 01 -CAR04
(317) 845 -7700
Fax: (317) 845 -7704
-ww. bobbl ockjitness. cvnt
,y
SOLD TO: CARMEL POLICE DEPARTMENT SHIP TO: CARMEL POLICE DEPARTMENT
3 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
CONFIRM TO: TERESA ANDERSON /BILL 14AYMAKER
P.O. NUMBER PAID BY: CHECK# REFERENCE TERMS
DUE ON RECEIPT
ITEM DESCRIPTION ORDERED SHIPPED B/O UNIT PRICE TOTAL
/LABOR SERVICE LABOR 80.60
/TRIP SERVICE TRIP CHARGE 25.00
TRUE EA650 SIN 03- E60665H NO RESISTANCE
UNIT NEEDS NEW LOWER BOARD CABLE THAT CONNE
LOWER BOARD BRAKE
THANK YOU FOR THE OPPORTUNITY TO BE OF SERVICE Net Invoice: 105.00
Freight: 0.00
Sales Tax: 0.00
105.00
Less Deposit: 0.00
105.00
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
Bob Block Fitness Equipment Purchase Order No. 18970P
8128 Castleway Court West Terms
Indianapolis, IN 46250 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/24/H 69697IN a ent for repairs to eli tical machine 105.00
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bob Block Fitness Equipment
IN SUM OF
8128 Castleway Court West
Indianapoils, IN 46250
tn5 =oo
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
N 500 105.00 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
November 7 20 08
Signature
Chiefof Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund