167990 01/21/2009 "�F CITY OF CARMEL, INDIANA VENDOR: 360856 Page 1 of 1
q ONE CIVIC SQUARE FITNESS FIXX
CARMEL, INDIANA 46032 11650 LANTERN RD STE 216 CHECK AMOUNT: $85.00
FISHERS IN 46038 CHECK NUMBER: 167990
CHECK DATE: 1/21/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4350000 5427 85.00 EQUIPMENT REPAIRS M
t5a
Invoice
11650 Lantern Rd., Ste. 216
Fishers, IN 46038 (317)435 -3(x16 DATE INVOICE
10!812008 5427
BILL TO SHIP TO
Cannel Clay Parks and Recreation Cannel Clay Parks and Recreation
1235 Central Park Drive .E ast 1235 Central Park Drive East
Curnlel, IN 46032 Carnic1,1N 40032
P.O. NO, TERMS DUE DATE
100308tim Net 30 1Ii7I2(J08
DESCRIPTION QTY RATE AMOUNT
Diagnostic Charge Nvith P.M. Discount 1 85.00 85.00
DEC 1 9 2nnp,
p
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It's be a pleasure working %with yoti"
�T :a 1: $85.00
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)) Amount
10/8/08 5427 Fitness equipment repairs 85.00
Total 85.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
360856 Fitness Fixx Allowed 20
11650 Lantern Rd., Ste. 216
Fishers, IN 46038
In Sum of
85.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #(TITLE AMOUNT Board Members
Dept
1047 5427 4350000 85.00 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
2 -Jan 2009
Signature
85.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund