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HomeMy WebLinkAbout204790 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 360856 Page 1 of 1 ONE CIVIC SQUARE FITNESS FIXX CHECK AMOUNT: $430.75 CARMEL, INDIANA 46032 10085 ALLISONVILLE ROAD SUITE 205 FISHERS IN 46038 CHECK NUMBER: 204790 CHECK DATE: 12/20/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4350000 9697 430.75 EQUIPMENT REPAIRS M A. FITNES FIXX Invoice 10085 Allisonville Rd -Suite 205 Date Invotce No Fishers, IN 46038 Z�j� (317) 435 -3646 11(23/11 9697 Carmel Clay Parks and Recreation Monon Center 1235 Central Park Drive East 1235 Central Park Drive East Carmel, IN 46032 Carmel, IN 46032 P O Number Terms, Due Date 30201 Net 30 12/23/11 Deter -pt1on Quantity at60 Amount Matrix Upright H.R. Grip Set 1 50.00 50.00 Cybex VR3 C.P. Link Kit 1 64.00 64.00. Cybex VR3 C.P. Bushings 4 7.00 28.00 General Labor charge for 2 technician with PM discount applied 3 85.00 255.00 Trip Charge (Round Trip) P.M. Discount 0.75 45.00 33.75 Purchase Dascriptlort 4 VL P.O _MG 00 22�� 30x01 P G.L# Io9b• 21. 1+350000 Bud at get Una Dow. Purchaser L o�-d. Dat 12 5.I 1 App .,.oats 12 1 DEC 1 2 2t�11 Total .4:3D 7 5 to Technician: o4d E Service Ticket/ P S S F.IX O _a. �,rtiir. sfRyicf:a�ro aFpr/,r foR rir�"fss Eaurp�rf�rr r Payment Method: 10085 Allisonviile Road, Suite 205 Warranty To Be Billed Fishers, IN 46038 Contract Cash P (317) 435 -3646 F (317) 579 -0653 Prepaid Check W www.fitnessfixx.com E service @fitnessfixx.net New Customer Charge Bill To: Email: P+`U� Customer; Contact: Phone: L Address: S City: State: Zip: IL— Manufacturer /Model: Serial Service Call #1 i t z Z i I Ll I Service Call #2 c �is� f °zaTokal,9'e "rvlc Time" Service Required I Trouble Reported:0 p �'I 3 e y 5 6 BSI A,P r i'a L 4 i+1 5 eiL6or6 O L, F Ire d ot; I TV V, Lr<r1dO1*t t It 6s aucJ\ scree ease_. O telt Actual Failure Service Performed: J f J� I LT i (z /E i U5 h r ►l t 1 i f S+? g G'a� l ►v�c'vl 1` p ft6 jd i X 0 P trUe 1 8 3 "C Ly a O X t O C''s y` l e 4 k© A1j o Ve- O T t/, 1 v5U 9 T L jNa S6M! Oj 0 90 -7 i U K of or co4lrd o arc C3' q�e �s;ve 6e l ac_e_d z5olve cw`m sc� ►SS. cj6CX v9-3 A iJ! o sAJ: 2 Quanti �e .�i ,tPart;# ���Fart�Descri tibn ItemiPrice� r $Total� J i23 C_-. ,A k Y_ tr �a i♦ as o td 5 O A ZG' Signatures below indicate that the above work has been performed to the customer's satisfaction, Parts Total 1 •0 0 that the parts listed were replaced, and that the equipment has been left in good working condition Service Call Fee (except as noted). Customers agrees to pay all charges not cov ed by manufacturer or dealer's Technical Service 6 2 S ,0 d warranties. Travel 0 7. hrs. /hr 3 3 Service Technician7 Date: Sales Tax Customer A roval: V V �l r a ii Date: i Z 4 7 e Total 0 r i q White Billing, Yellow Customer 5 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 11/23/11 9697 Fitness equipment repair 430.75 Total 430.75 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 430.75 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1096 -21 9697 4350000 430.75 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 15 -Dec 2011 Signature 430.75 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund