HomeMy WebLinkAbout203852 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 360856 Page 1 of 1
ONE CIVIC SQUARE FITNESS FIXX
CARMEL, INDIANA 46032 10085 ALLISONVILLE ROAD SUITE 205 CHECK AMOUNT: $1,462.00
o� FISHERS IN 46038 CHECK NUMBER: 203852
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4350000 9600 1,462.00 EQUIPMENT REPAIRS M
FITNESS FIXX Invoice
1:0085.AIlisonville Rd Suite 205
Fishers, IN 46038 Date Invoice No.
[\yQ'� 3 2011 11/01/11 '9.600
(317Y435-3646
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Bill To: Ship To
Carmel Clay Parks and Recreation Monon Center
1235 Central Park Drive East 1235 Central Park Drive East
Carmel, IN 46032 Carmel, IN 46032
?ORIGINAL
WN191 P.O. Number Terms Due Date
20558 Net 30 12/01/11
Description Quantity Rate Amount
Matrix Recumbant Seat Bottom Pads 4 78.00 312.00
Matrix Recumbant Seat Back Pads 4 165.00 660.00
Matrix Upright Bike HR Grip Set 1 50.00 50.00
Matrix Bike Pedal Sets 2 35.00 70.00
Matrix Recumbant Seat Roller/Wheel Set 1 60.00 60.00
General Labor charge for 2 technician with PM discount applied 3.25 85.00 276.25
Trip Charge P.M. Discount 0.75 45.00 33.75
Purchase w
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Total $1,462.00
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Payment Method:
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10085 Allisonville Road, Suite 205 Warranty To Be Billed
Fishers, IN 46038 Contract Cash
P (317) 435 -3646 F (317) 579 -0653 Prepaid Check
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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
10085 Allisonville Rd, Suite 205
Fishers, IN 46038
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
11/1/11 9600 Fitness equipment repair 20558 1,462.00
Total 1,462.00
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
360856 Fitness Fixx Allowed 20
10085 Allisonville Rd, Suite 205
Fishers, IN 46038
In Sum of
1,462.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 9600 4350000 1,462.00 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
17 -Nov 2011
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Signature
1,462.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund