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169351 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 362614 Page 1 of 1 ONE CIVIC SQUARE BGI FITNESS O I 4130 EAST 82ND ST CHECK AMOUNT: $395.50 CARMEL, INDIANA 46032 INDIANAPOLIS IN 46250 CHECK NUMBER: 169351 CHECK DATE: 3/4/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4239039 161565 395.50 GENERAL PROGRAM SUPPL I j BGI Fitness Work Order 42586 BGI Fitness 4130 East 82nd Street Indianapolis, IN 46250 INVOICE 161565 Billing Issues: Contact Lavina Kautz Account 000100010381 Voice =317- 579 -7920 x570 Page: 1 of 1 Fax= 317 577 -0264 Date: 2/9/2009 Time: 1:37:31 PM Cashier: LK Register 1012 Reference: COM /PO #19944 Comment: PO #19944 Bill To: The Monon Center Ship To: The Monon Center The Monon Center The Monon Center 1235 Central Park Dr E 1235 Central Park Dr E Carmel, IN 46032 Carmel, IN 46032 317- 571 -2695 ReI? Loo d' `Code',: Description, Quantity Pricee. Extended', JA 27700005 MAT SUPR 3 x 4 Rolled Mat 20 $28.99 $579.80 Roller rubber mat. Use for upright bikes and steppers on all surfaces Discount ($10.49) ($209.80) JA 99900 Thanks for Your Business!! 1 $0.00 $0.00 Lavina Kautz FRk C F-1TVRD FEB 1 8 2009 EkidaM Une Piamhaw Cr w s d 1 D9 Thanks for choosing BGI. i Sub Total $370.00 Billing: 317.842.4140 x570 Sales Tax $0.00 Service: 317.579.7933 BGI Pass Through of Manf Freight Charges $25.50 www.bgifitness.com Total $395.50 infon @bgindy 161565 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. 19944 F Terms BGI Fitness 4130 East 82nd Street Indianapolis, IN 46250 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 395.50 219!09 161565 Cycle mats Total 395.50 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. BGI Fitness Allowed 20 4130 East 82nd Street Indianapolis, IN 46250 �r In Sum of y, 395.50 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047' 161565 4239039 395.50 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 26 -Feb 2009 Signature 395.50 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund