HomeMy WebLinkAbout205456 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 360856 Page 1 of 1
ONE CIVIC SQUARE FITNESS FIXX SERVICE INC CHECK AMOUNT: $528.75
CARMEL, INDIANA 46032 10085 ALLISONVILLE ROAD SUITE 205
FISHERS IN 46038 CHECK NUMBER: 205456
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4350000 9775 528.75 EQUIPMENT REPAIRS M
T FITNESS FIXX Invoice
SIVE
10085 A isonville Rd Suite 205
Fishers, IN 46038 DEC 1 6 2011 Date 'InvoiceNo
(317) 435 -3646 12/09/11 9775
BY:
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
O D ue Number Date
30238 Net 30 01/08/12
Description Quantity Rate Amount
Motor Control Board for 95Ti (With core return) 1 375.00 375.00
Drive Belt for Treadmill 1 35.00 35.00
General Labor charge for 2 technician with PM discount applied 1 85.00 85.00
Trip Charge P.M. Discount 0.75 45.00 33.75
Purchase
Description�
P.O.# X02 Pore �`y! r' 9
I0�1 2 SOUCU
Budget
li ne UeS cr 12 19 I t
Purchaser Date
Da�telL��'7
APPS
Total $528 75
Technician: �L C 6 14
F I T N. E SS F I X X Service Ticket/ PO
OUA[ /TY SE9Y /Cf ANO B fIINESS fUU /Pd/fNT I Z- 9 113 1
Payment Method: i�j__
085 Allisonville Road, Suite 205 Warranty !d 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:
(SCI 1•b+t�U �Li k s e e
Customer: Contact: Phone:
L�� cis I% X13 5 Z
Address: C' r State: Zip:
12 36 zA 1� irk i5 C ie i �N 6a
Manufacturer /Model: Serial
Service Call #1
Service Call #2
Service Required /Trouble Reported:
96 T t° e ds ir r e e l a ce c".
Actual Failure 8 Service Performed: T 7 7 r e c
Q O v"
proper
u�
um
I TV
'�_r•_Quanti P,ait# s� ?,ice; F� P.artfQescn tron r; a �Item,;Prtce�Total
G Y1 1 1?'�, 3 ?G
Signatures below indicate that the above work has been performed to the customer's satisfaction, Parts Total I ck)
that the parts listed were replaced, and that the equipment has been left in good working condition Service Call Fee
C
(except as noted). Customers agrees to pay all charges not covered by manufacturer or dealer's Technical Service 4p q
hr q 5
warranties. Travel .75 hrs. /5/hr 7. 5
Service Technician: Date: 1 Z
Sales Tax
CustomerA roval: ed' �'a Date: Z �T V
White Billing, Yellow Customer
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
1219111 9775 Treadmill repairs 30238 528.75
Total 528.75
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
528.75
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -21 9775 4350000 528.75 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
11 -Jan 2012
19hMw2a
Signature
528.75 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund