HomeMy WebLinkAbout198917 07/06/2011 CITY OF CARMEL, INDIANA VENDOR: 026625 Page 1 of 1
ONE CIVIC SQUARE BOB BLOCK FITNESS EQUIP
CARMEL, INDIANA 46032 8128 CASTLEWAY COURT WEST CHECK AMOUNT: $105.00
INDIANAPOLIS IN 46250
«o, CHECK NUMBER: 198917
CHECK DATE: 7/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 79277 105.00 OTHER CONT SERVICES
ff"A& INVOICE
C RMe5_9 INVOICE NUMBER 0079277 -IN
INVOICE DATE 06/21/2011
8128 Castlewav Court 61'est SALES PERSON TIM RAGAN
Indianapolis, IN 46250 CUSTOMER NUMBER O 1 -CARO I
(317) 845 -7700
Far: (317) 845 -7704
www. bobbl ockfntness. com
SOLD TO: CARMEL FIRE DEPARTMENT SHIP TO: CARMEL FIRE HEADQUARTERS #41
2 Civic Square 2 Civic Square
CARMEL, IN 46032 CARMEL, IN 46032
CONFIRM TO:
P.O. NUMBER PAID BY: CHECK## REFERENCE TERMS
D O N RECEIPT
ITEM DESCRIPTION ORDERED SHIPPED B/O UNIT PRICE TOTAL
SERVICE CALL ON 6/2 1/1 1 BY JIM HUGHES
TRUE 725 SN:03 -40650
DOES NOT NEED MOTOR DRIVE BELT NEEDS BELT
DECK ORDERING PARTS
/LABOR SERVICE LABOR 80.00
/TRIP SERVICE TRIP CHARGE 25.00
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
79277 $105.00
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.
ALLOWED 20
Bob Block Fitness
IN SUM OF
8128 Castleway Court West
Indianapolis, IN 46250
$105.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1120 I 79277 I 43- 509.00 I $105.00 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund