172321 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 360856 Page 1 of 1
F 0 ONE CIVIC SQUARE FITNESS FIXX CHECK AMOUNT: $47.25
CARMEL, INDIANA 46032 11650 LANTERN RD STE 216
FISHERS IN 46038 CHECK NUMBER: 172321
CHECK DATE: 5/13/2009
DEPARTMENT ACCOUN PO NUMBER INVOICE NUMB AMOUNT DE
1047 4350000 6198 47•.25 EQUIPMENT REPAIRS M
Y FITNESS FI Invoice
11650 Lantern Rd., Ste 216
Fishers, W46038 (317)4
DATE INVOICE#
4/23/2009 6198
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, W 46032 Cannel. LN 46032
P.O. NO. TERMS DUE DATE
421092JM Net 30 5/23 /2009
DESCRIPTION QTY RATE AMOUNT
PM Discount Labor for one technician 0.25 45.00 11.25
Kevlar Belt ($6.00 /11.) 6 6.00 36.00
Q C0 g
MAY 0
1009
]BY:5..!:a Q....
All work is complete!
Total
I $47.25
p
V
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
4/23/09 6198 Repair Cybex 360 belt/fitness equipment 20776 47.25
Total 47.25
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
47.25
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 6198 4350000 47.25 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
7 -May 2009
Signature
47.25 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund