HomeMy WebLinkAbout164704 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 360856 Page 1 of 1
ONE CIVIC SQUARE FITNESS FIXX CHECK AMOUNT: $85.00
CARMEL, INDIANA 46032 11650 LANTERN RD STE 216
FISHERS IN 46038 CHECK NUMBER: 164704
CHECK DATE: 10/16/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM DESCRIPTION
1047 4350000 5317 85.00 EQUIPMENT REPAIRS M
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Y FITNESS FIXX Invoice
B9.ff /E7 JEBY /Ci AdO NfPA'9 fON fi7dEJJ f0:/lPl1f T/
r 11650 Lantern Rd., Ste. 216
Fishers, IN 46038 (317)435 -3646 DATE INVOICE
918/2008 5317
BILL TO SHIP TO
Carmel Clay Parks and Recreation Carmel Clay Parks and Recreation
1235 Central Park Drive East 1235 Central Park Drive East
Cannel, IN 46032 Cannel, IN 46032
I
P.O. NO. TERMS DUE DATE
905082CM Net 30 10/8/2008
DESCRIPTION QTY RATE AMOUNT
General Labor charge for 2 technician with PM discount applied 1 85.00 85.00
Its been a pleasure working %ith you! Total otal $85.00
6'd X90 6L9 L l0 xaid ssauli� ezv:N 90 20 100
Technician:
FITNESS FIXX Service Ti cke t
Payment Method:
11650 Lantern Road/ Suite 216 Warranty Cash
Fishers, IN 46038 Contract Check
P (317) 435-3646 F (317) 579-0653 Prepaid 1?f- Be Billed
W www.fitnessfixx.net E service@fitnessfixx.net
Bill To
Customer 'j Contact' Phone
Address C* ty State Zip
Manufacturer/Model Serial
51
Date Start Time End Time Service Time
Service Call #1
Service Call #2
S ervice C all #3
Service C all #4
Total Service Time
l �Service Required Trouble Reported
Actual Failure Service Performed
/9
Purchase Date Parts Date Parts
Quantity Part Description n scr 6pto on Pr&red Expected Amount
P o p
AncNo
R1jr1qP.t
Line Descr r
Purchaser hMe 6�flfigij Date
Approva Date
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
has been left in good working condition Service Call Fee
(except as noted). Custome agrees t all not covered by manufacturer or dealer's
y Technical Service /hr
warranties. 7/ 4 7 Travel hrs. /hr
Service Technician Date Sales Tax
Customer Approval
Date Total
White Billing, Yellow Customer QYI
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
11650 Lantern Rd, Ste 216
Fishers, IN 46038
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/8/08 5317 Equipment repair 85.00
Total 85.00
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.
360856 Fitness Fixx Allowed 20
11650 Lantern Rd, Ste 216
Fishers, IN 46038
In Sum of
85.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 5317 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
8 -Oct 2008
Signature
85.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund