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Home My WebLink About201149 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 362614 Page 1 of 1 ONE CIVIC SQUARE BGI FITNESS CARMEL, INDIANA 46032 4130 EAST 82ND ST CHECK AMOUNT: $603.38 o INDIANAPOLIS IN 46250 CHECK NUMBER: 201149 CHECK DATE: 9/13/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4237000 27886 280003 603.38 MISC REPAIR PARTS BGI Fitness Work Order 76462 BGI Fitness 4130 East 82nd Street Indianapolis, IN 46250 INVOICE 280003 Billing Issues: Contact Lavina Kautz Account 000100024799 Voice =317- 579 -7920 x570 Page: 1 of 1 Fax= 317 577 -0264 Date: 8/30/2011 Time: 10:10:24 AM Cashier: LK Register 1012 Reference: COM /PO #27886 Comment: PO #27886 Bill To: Carmel Police Department Ship To: Carmel Police Department Carmel Police Department Carmel Police Department 3 Civic Sq 3 Civic Sq Carmel, IN 46032 -2584 Carmel, IN 46032 -2584 317 -571 -2533 Alt= 317 -409- 5866 -Mike Pitman Descri tion s x uantity Prace g Rep., a�.. ItemLookup 'Code��.�_4..e�,.a_. R_. �x�� <z_ m' n��g�,vQ.�... v.��.Extended< JA 34100054 41 PARK Deluxe Home Stand 1 $324.99 $324.99 PCS -4 Discount ($41.80) ($41.80) JA SO_10_3175712533_5 ZF -Park Advanced Tool Kit 1 $379.99 $379.99 QBP #TL7470 Discount ($95.20) ($95.20) JA 99900 Thanks for Your Business!! 1 $0.00 $0.00 Lavina Kautz a u T...�m x Thanks for choosing BGI. Sub Total $567.98 Sales Tax $0.00 Billing: 317.842.4140 x570 Service: 317.579.7933 BGI Pass Through of Manf Freight Charges $35.40 Total $603.38 www.bgifitness.com infon @bgindy.com 280003 INDIANA RETAIL TAX EXEMPT PAGE C ity o f C arme l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35- 60000972 zM ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION Bel Fitnooff Pallce Dopattmont VENDORM C0 1PO rdlOn DdyG SHIP 3 Ci Squ TO Cerm IN Indianapolis, IN 4M 571 M CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT OUANNT s I UUNIITpOF MEASURE DESCRIPTION UNIT PRICE EXTENSION �y 1 Each shipping chalrgos $35.40 $35.40 1 Each Park PCS-4 Repair Stand $283.10 $283.19 1 Each Park danced Taal Kft $284.79 $284.70 Sub Tatul: $603.38 4 Ae 1c a i' A €t Send Invoice To:( TU Cwmel Police DoWmGnt Attu: Tmoz AndGrzon 3 Civic squam Camol, IN 49=- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Cmrm:l Police Dept. PAYMENT X90.38 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVITATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY TH$T'T P ERE IS AN UN BLIGATED BALANCE IN SHIP REPAID. THIS. PPROPRIAT SU FICIENT P'FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED, ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. oa a f5y THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Ch L7< Ir ollco AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL NO. 2 7 8 8 6 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #(TITLE AMOUNT DEPT. I 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__ 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO, WARRANT NO. ALLOWED 20 SGI Fitness IN SUM OF 0 Indianapolis, IN 456-- $603.38 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 27886 280003 42- 370.00 I $603.38 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 Friday, September 02, 2011 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 08/30/11 280003 bicycle equipment $603.38 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