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179660 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 360856 Page 1 of 1 ONE CIVIC SQUARE FITNESS FIXX CHECK AMOUNT: $3,833.08 CARMEL, INDIANA 46032 11650 LANTERN RD STE 216 FISHERS IN 46038 CHECK NUMBER: 179660 CHECK DATE: 11/24/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4351501 6708 890.58 EQUIPMENT MAINT CONTR 1047 4237000 6714 2,942.50 REPAIR PARTS FIT FIX Inv ®Ice au�urr s�ayre�ara ®f�aiA t'oa Flr�rss �aui�.srf:�r 11650 Lantern Rd., Ste. 216 i O CT 2 1 2009 DATE INVOICE Fishers, IN 46038 (317)135 -3646 j 10/14/2009 6708 LB BILL TO SHIP TO Carmel Clay Parks and Recreation Carmel Clay Parks and Recreation 1235 Central Park Drive East 1235 Central Park Drive East Carmel. IN 46032 Carmel, IN 46032 P.O. NO. TERMS DUE DATE 1014091JM Net 30 11/13/2009 DESCRIPTION QTY RATE AMOUNT Preventative Maintenance on Fitness Room 1 890.58 890.58 rchzse De 1 Descrii,tion P.O. J or o.L# /y 00, 290, Budg C/ Une escr_'� PUrChaser_ �VV�QQ� 1 'tG� NOV 0 4 2009 DY:...... All work is complete! T otal $890.58 ,i I InV ®OCR FITNESS FI �oz r DUAf IIl' SFR. YIGf A.F'O AfPd!A fP/J FITNiS,S fOUJF�fA"T 11650 Lantern Rd., Ste. 216 DATE INVOICE Fishers, IN 46038 (317)435 -3646 10/1412009 6714 BILL TO SHIP TO Carmel Clay Parks and Recreation Carmel Clay Parks and Recreation 1235 Central Park Drive East 1235 Central Park Drive East Carmel, IN 46032 Carmel, IN 46032 Q C r 2 zA09 P.O. NO. TERMS DUE DATE 1014092JM Net 30 11/13/2009 DESCRIPTION QTY RATE AMOUNT General Labor charge for 2 technician with PM discount applied 2.5 85.00 212.50 95Ti Running Belt (Wax Embedded) 6 455.00 2,730.00 Purdme Description 220 P R Y10 o .L Budget Line Descr VC L rt� 4 9' 1- P=haW. >,VV 2PI& Date 10_2 T 0 9 13y All work is complete! Total $2,942.50 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)) PO Amount 10/14/09 6708 Preventative maintenance fitness 19940 F 890.58 10/14/09 6714 Repairs to fitness equipment 22047 p 2,942.50 Total 3,833.08 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. 360856 Fitness Fixx Allowed 20 11650 Lantern Rd., Ste. 216 Fishers, IN 46038 In Sum of 3,833.08 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 6708 4351501 890.58 1 hereby certify that the attached invoice(s), or 1047 6714 4237000 2,942.50 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 19 -Nov 2009 Signature 3,833.08 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund