179675 11/24/2009 f CITY OF CARMEL, INDIANA VENDOR: 363343 Page 1 of 1
ONE CIVIC SQUARE GILLES FITNESS, LLC
CARMEL, INDIANA 46032 1412 S GREEN RIVER ROAD CHECK AMOUNT: $167.90
EVANSVILLE IN 47715 CHECK NUMBER: 179675
CHECK DATE: 11/24/2009
DEPARTMENT ACCOUNT PO NUMBER IN NUMBER AMOUNT DESCRIPTION
1047 4237000 69655 110.00 REPAIR PARTS
1047 4238000 69782 57.90 SMALL TOOLS MINOR E
CI LLFS FITNESS, LLC
1412 S GREEN RIVER RD
EVANSVILLE, IN 47715
800 759 -8828
CARMEL CLAY PARKS REC 12861 GILLES FITNESS, LLC
ATTN: CARRIE KEVENNEY 1412 S GREEN RIVER RD
1235 CENTRAL PARK DR EAST EVANSVILLE, IN 47715
CARMEL, IN 46032 800 -759 -8828
(317)- 573 -5249
Page 1 Lines 6
Sold by: TODD Tuesday 10/06/2009 08:55 am -01 Cl ce— 965
Item Number Description Qnty Price Ext Price
GS -118 LABOR CYBEX STRENGTH 1 60.00 60.00
GS -120 SERVICE CALL 1 50.00 50.00
K ORDER# 50 DAVE
*PAYMENT DUE UPON RECEIPT
v
N o 2 009
BY
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NON -Txbl $110.00
Charge $110.00 INVOICE TOTAL$11:0_:'0;0
Purchase
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Purchaser Date__.
Approv Date._.
GI LLES FI T'NESS LLC
1412 S GREEN RIVER RD
EVANSVILLE, IN 47715
800 759 -8828
CARMEL CLAY PARKS REC 12861 GILLES FITNESS, LLC
ATTN: CARRIE KEVENNEY 1412 S GREEN RIVER RD
1235 CENTRAL PARK DR EAST EVANSVILLE, IN 47715
CARMEL, IN 46032 800 759 -8828
(317)- 573 -5249
Page 1 Lines 4
Sold by: TODD Thursday 10/29/2009 08:42 am -01 Invoice 69782
Item Number Description Qnty Price Ext Price
295 -0539 CYBEX L PIN 4 12.60 50.40
GS -120 SHIPPING /HANDLING 1 7.50 7.50
"PAYMENT DUE UPON RECEIPT"
NON -Txbl $57.90
NOV l 7 2009
Charge $57.90 Dy INVOICE TOTAL $57. 90
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ACCOUNTS PAYABLE VOUCHER
r 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.
363343 Gilles Fitness, LLC Terms
1412 S Green River Rd
Evansville, IN 47715
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
10/6/09 69655 Repair parts 22517 F 110.00
10/29/09 69782 Pins for weight stacks 22811 F 57.90
Total 167.90
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.
363343 Gilles Fitness, LLC Allowed 20
1412 S Green River Rd
Evansville, IN 47715
In Sum of
167.90
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members
Dept
1047 69655 4237000 110.00 1 hereby certify that the attached invoice(s), or
1047 69782 4238000 57.90 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
19 -Nov 2009
Signature
167.90 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund