205982 01/31/2012 "M CITY OF CARMEL, INDIANA VENDOR: 365865 Page 1 of 1
ONE CIVIC SQUARE ROGUE FITNESS
0 CHECK AMOUNT: $614.66
CARMEL, INDIANA 46032 1080 STEELWOOD ROAD
COLUMBUS OH 43212 CHECK NUMBER: 205982
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 R4467099 24273 614.66 WEIGHT EQPT
Rogue Fitness
1080 Steelwood Rd
Columbus, OH 43212
614- 358 -6190 Invoice
S01d =TO SHIP TO
Dennise Synder 317- 571 -2622 Dennise Synder 317 571 -2622
Carmel Fire Department Carmel Fire Department
2 Civic Square 2 Civic Square
Carmel IN 46032 Carmel IN 46032
United States United States
dsnyder @carmel.in.gov dsnyder @carmel.in.gov
Order Date: 12-Dec-2011
ORDER NO.:
REF. NO.: 109496
Ship via:
Customer ID: 64000
Shipped via_ k Payment'Method: PO PO# 24,27,3'
UNIT
SKU „DESCRIPTION O' PRICE T
RD RED OTAL
MDSB20 201b Stammer 3 3 $54.99 $164.97
AR11224A 531b Premier Kettlebell 1 1 $79.95 $79.95
AR11228A 621b Premier Kettlebell 1 1 $89.95 $89.95
RFKWSR ROGUE Speed Rope 3 3 $15.00 $45.00
RTSK Rogue Specialist Kit SandBags 1 1 $150.00 $150.00
RTFM TAK Filler Bag Medium 3 3 $0.00 $0.00
RTMD TAK Sand Bag Medium 1 1 $0.00 $0.00
Subtotal $529.87
Shipping $84.79
Sales Tax $0.00
Total $614.66
Make checks payable to Rogue Fitness. Terms: 100%
Due Upon Order unless otherwise Agreed Upon
Net 30 Terms For Purchase Orders: Interest will added if payment is not recieved within terms
Thanks for your order!
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
$614.66
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 N
Rogue Fitness ALLOWED 20
IN SUM OF
1080 Steelwood Road
Columbus, OH 43212
$614.66
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
24273 I 1 102- 670.99 I $614.66 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
JAN 3 0 2012
l Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund