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164888 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 353696 Page 1 of 1 ONE CIVIC SQUARE POWER SYSTEMS INC CHECK AMOUNT: $999.19 CARMEL, INDIANA 46032 PO BOX 51030 KNOXVILLE TN 37950 -1030 CHECK NUMBER: 164888 CHECK DATE: 10/16/2008 DE PARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION 1047 4239039 832672 999.19 GENERAL PROGRAM SUPPL T P. POWER Knoxville, B 3 TN 37950 INVOICE 1 -800. 321 -6975 832672 (865) 769.8223 9/15/2008 SYSTE(865)769.8211 FAX 1 of 1 ;www.power- systems com Email to fitness @power- systems.com I2(�:FTVFD 0 CT 0 1 2008 BY: Bill To: CARMEL CLAY PARKS and RECREATION Ship To: KEAVENEY, CARRIE ACCOUNTS PAYABLE CARMEL CLAY PARKS RECREATION 1235 CENTRAL PARK DRIVE EAST THE MONON CENTER CARMEL, IN 46032 1235 CENTRAL PARK DRIVE EAST USA CARMEL, IN 46032 USA 277792 pld 9/12/2008 Net 30 Days 10/15/2008 19417 2348183 Descriiptii6n w 1 61705 Deluxe Vinyl Dumbbell 5 lb. 50 50 0 EA 5.75 287.50 2 61708 Deluxe Vinyl Dumbbell 8 lb. 20 20 0 EA 8.75 175.00 3 61710 Deluxe Vinyl Dumbbell 10 lb. 8 8 0 EA 10.75 86.00 4 91212 VersaBar 12 lb. 8 8 0 EA 27.95 223.60 5 50740 Pro Tricep Rope 1 1 0 EA 19.95 19.95 6 61972 Premium Revolving Low Pulley Bar 1 1 0 EA 24.95 24.95 Purchase Description .o. ...L. 41.34o. 3m, Lja31 039 aet c bescr r ra m a ti )val $817.00 $132.10 $314.29 $0.00 $0.00 $999.19 COMMENTS 7 r_ar_invp6nt_us A 1.5% Finance Charge or a $5.00 minimum charge will be applied to all balances over 30 days. 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. 19417 F 353696 Power Systems Terms P.O. Box 51030 Knoxville, TN 37950 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/15/08 832672 Group exercise equipment 999.19 Total 999.19 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. 353696 Power Systems Allowed 20 P.O. Box 51030 Knoxville, TN 37950 In Sum of 999.19 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 832672 4239039 999.19 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 6 -Oct 2008 Signature 999.19 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund