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176233 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 360856 Page 1 of 1 ONE CIVIC SQUARE FITNESS FIXX CHECK AMOUNT: $266.60 CARMEL, INDIANA 46032 11650 LANTERN RD STE 216 FISHERS IN 46038 CHECK NUMBER: 176233 CHECK DATE: 8/19/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4350000 6462 101.60 EQUIPMENT REPAIRS M 1047 4350000 6467 165.00 EQUIPMENT REPAIRS M FITNESS F IXX ouefirr sf sure r rc /A 400 F et �A, fYfSf f011MY -F" I n vo i ce f f u s H .650 L,aniem Rd., Ste. 216 Fishers, IN 46038 (317)435 -3646 JUG 1, %,]t, DATE INVOICE# d 7/15/2009 6462 r BILL TO SHIP TO Carmel Clay Parks and Recreation Cannel Clay Parks and Recreation 1235 Central Park Drive East 1235 Central Park Drive Fast Carmel, IN 46032 Carmel, TUNT 46032 P.O. NO. TERMS DUE DATE 714091J1b1 Net 30 8/14/2009 DESCRIPTION QTY RATE AMOUNT Service Call Fee 1 90.00 90.00 95Te Head Phone Jack 1 11.60 11.60 f JUL 2 4 2 9 Purchas (:�S TC) Descript on I fi E P.O. P orE No CA G. L. 1--- 4120�10- Budget Line Des r Purchase ate nproval ate All work is complete! Total $101.60 F ITNESS F I x Technician: U1! //Y Ff9Y /C£AHO FEPA /9 faq "V-r S falIM41",r Service icket Payment Method: 11650 Lantern Road/ Suite 216 Fishers, IN 46038 Warranty Cash P (317) 435 -3646 F (317) 579 -0653 Contract Check W www.fiitnessrlxx.net E service ®ritnessfixx.net Prepaid ?To Be Qilled Bill To rme ��rl t� Icz Customer Contact Phone Address r 1 I ty 317 .3 J l fC; PC.f -4 .r Ci State zi Manufacturer /Model jam' S �3a erial Dafeti F Service Call #1 y,,$ewcaTime Service Call #2 s� tic .F n s4 try r 1 Total Servce Time Service Required /Trouble Reported Lr r fne� C-&J5)C'c by 2c Actual Failure Service Performed r i e- c h� c; 51�� C� cap P-9 r y may, '`�I n ems_ Par 'CL(> b r-de -e 1 LXx �i t'L t,i�er� ar rs au.`ve Date Parts Date Parts Quanht" Part# i]i5cripho`ri" „prdered Expected „iAmount Signatures below indicate that the above work has been performed to the customer's satisfaction, l Parts Total 1 that the parts listed were replaced, and that the equipment has been left in good working condition Service Call Fee go (except as noted). Customers agrees to pay all charges not covered by manufacturer or dealer's Technical Service 2 lhr warrantie s. l/� p Travel hrs. !hr Service Technician Date 7 17 Q l Sales Tax Customer Approval t Date i -1 `J 6 t C, Total:;: White Billing, Yellow Customer FIXX CUR: /i'Y SINt'I£f 4,Y9 df, 9 /Af f/i 4VXS f ?i'tPf /fist i y--, f t +r r T 't" Invoice �✓A. 11650 Lantern Rd., Ste. 216 Fishers, IN 46038 (317)435 -3646 ,I, 2 DATE INVOICE I 7/17/2009 6467 BILL TO SHIP TO Cannel 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 P.O. NO. TERMS DUE DA T E 716093AL Net 30 8/16/2009 DESCRIPTION QTY RATE AMOUNT Cable for Cybes 360 Multi Gym 1 67.50 67.50 Shipping on parts 1 7.50 7.50 Service Call Pee 1 90.00 90.00 JUL 2 4 2009 Purchase Rp—mj P TO Description I` EQ U IP, P.O. P )11 F tQ0 LT G.L.# L1j- 400 I 5oocc Budget E(vUI P i2E AI f S MN IjT Line Descr Purchaser Date Approva{ Date All work is complete! T $165.00 Technician: t1 ro F I T E S s F i x Service Ticket OUA! /Tr XfNY /Cf AND HfPA/9 AM f /IN f ESS 1 111, 1 EN T t T f fy 7 t v L y y T Payment Method: 11650 Lantern Road/ Suite 216 jj L� _Warranty Cash Fishers, IN 46038 JU 2' Contract Check P (317) 435 3646 F (317) 579 0653 Prepaid ✓To Be Billed W wwwAtnessfixx.net E service @fitnessfixx.net �q Bill To Customer Contact Phone 573 -saw Address City State 7 Zip X3 5 �en�� 1 f C-r PC Ca r �JU ��03 Manufacturer /Model Serial Date s _:E od Time', Sen rce Tlme >a3r _,r Service Call #1 7 IL t i Service Call #2 t" J t .ar�� a� ��i }..jr_.......sv.7 sL��`'x�rs a�. S. 7 •r s _Y �f,�'�..xt. S ,f?....=,s„ x ,TOtal:$ervlGeTw Service Required/ Trouble Reported cLb! O� 1 ba 3 0 Actual Failure Service Performed •9 c 'n c.W C bPX 3' >r LJ G l DateParts Qale Parts Quantify Part a)escnption Ordered Expected Amount Signatures below indicate that the above work has been performed to the customer's satisfaction, Parts Total U that the parts listed were replaced, and that the equipment has been left in good working condition Service Call Fee U (except as noted). Customers a ees to pay all charges not covered by manufacturer or dealer's Technical Service Ihr warranties. Travel hrs. S !hr Service Technician Date Sales Tax G r 6 l a Q r i -rr r. W L 's r7 Customer Approval le Total White Sitting, Yellow Customer 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 7/15/09 6462 Repairs to fitness equipment 22288 F 101.60 7/17/09 6467 Repairs to fitness equipment 22288 p 165.00 Total 266.60 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 I Allowed 20 11650 Lantern Rd., Ste. 216 Fishers, IN 46038 In Sum of 266.60 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 6462 4350000 101.60 1 hereby certify that the attached invoice(s), or 1047 6467 4350000 165.00 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 13 -Aug 2009 Signature 266.60 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund