206151 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 026625 Page 1 of 1
ONE CIVIC SQUARE BOB BLOCK FITNESS EQUIP CHECK AMOUNT: $325.00
CARMEL, INDIANA 46032 8128 CASTLEWAY COURT WEST
iNDiANAPOL4S IN 46250 CHECK NUMBER: 206151
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 80906 325.00 OTHER CONT SERVICES
ff" A& A fff"j r 71C INVOICE
F %�i�e5s �qc� %pFrtent
INVOICE NUMBER 0080906 -IN
INVOICE DATE 01/30/2012
SALES PERSON DON VIVIR.ITO
8128 Castleway Court YVest
Indianapolis, IN 46250 CUSTOMER NUMBER 01 CARO1
(317) 845 -7700
Fax: (317) 845 -7704
www. bobblockfttness.com
SOLD TO: CARMEL FIRE DEPARTMENT SHIP `I'O: CARMEL FIRE DEPARTMENT
2 Civic Square 2 Civic Square
CARMEL, IN 46032 CARMEL, IN 46032
CONFIRM TO: JIM DAVIS 571 -2625 STATION 46
P.O. ?NUMBER PAID BY: CI-IECK4 REFERENCE TERMS
D UE ON RE
ITEM DESCRIPTION ORDERED SHIPPED B/O UNIT PRICE TOTAL
/LABOR SERVICE LABOR (ALL STATIONS) 325.00
STATION 41: PM.
STAIRMA'STER STEPMILL 700OPT SN:20000020826003
NEEDS NEW TRANSMISSION;FLUID LEAKING OUT
LUBED TREADMILf_ ,'A LL OTH'ER,EQUIPMENT.'
FUNCTIONING PROPERLY
*CONTACT W /REPAIR QUOTE
STATION 42: PM
TRUE 725HRC SN:01- 18148J DRIVE BELT VERY LOOSE
WHEN PROPERLY TENSIONED THE DRIVE MOTOR
FLYWHEEL RUBS THE FRAME. NEED NEW DRIVE BELT.
ALSO ELEVATION DOWN KEY DOES NOT FUNCTION,
DECK/BELT WORN.
ALL OTHER EQUIPMENT TESTED FUNCTIONING
PROPERLY.
STATION 43: PM
LUBED AND TESTED. ALL EQUIPMENT OK
STATION 44: PM
-ALL-EQUIPMENT LUBED TESTED. ALL EQUIPMENT
FUNCTIONING PROPERLY AT THIS TIME
STATION 45: PM
TRUE' CS6:0 SN:09 CS -0044A AND 09CS -0034A BOTH
UNITS'.HAV( SEVERAL "STUCK KEY ERRORS IN THE
LOG`• "BOTH FUNCTION PROPERLV&�c ALIBRATE LUBE
BOTH'UNITS
TUFF FLAT /INCLINE CURL BENCH- LONG BACK
PAD SEAT PAD TORN. FLAT /INCLINE SIT UP BENCH
(NO BRAND NAME) LONG BACK PAD TORN,
NO OTHER ISSUES NOTED ALL EQUIPMENT
FUNCTIONING PROPERLY
ff" INVOICE
INVOICE NUMBER 0480906 -IN
C �7 C LJ L INVOICE DATE 01/30/2012
8128 C'astleway Court West
SALESPERSON DON VIVIRITO
Indianapolis, IN 46250 CUSTOMER NUMBER 01 -CARO1
(317) 845 -7700
(317) 845 -7704
www. bobbl ockjtness. com
SOLD TO: CARMEL FIRE DEPARTMENT SHIP TO: CARMEL FIRED EPA RTM ENT
2 Civic Square 2 Civic Square
CARMEL, IN 46032 CARMEL, IN 46032
CON1 TO: JIM DAVIS 571 -2625 STATION 46
P.O. NUMBER PAID BY: CHECK# REFERENCE TERMS
D UE ON RECEIPT
ITEM DESCRIPTION ORDERED SHIPPED B/O UNIT PRICE TOTAL.
STATION 46: PM
HOIST BENCH S/N: 0]HE07I56C SEAT BACK PADS
TORN. ALL OTHER EQUIPMENT FUNCTIONING
PROPERLY. LUBED TM STEPMILL
THANK YOU FOR THE OPPORTUNITY TO BE OFSER VICE Net Invoice: 325.00
Freight: 0.00
Sales Tax: 0.00
325.00
Less Deposit: 0.00
325.00
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bob Block Fitness
IN SUM OF
8128 Castleway Court West
Indianapolis, IN 46250
$325.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO Dept. INVOICE NO, ACCT #!TITLE I AMOUNT Board Members
1120 I 80906 I 43- 509.00 I $325.00 1 hereby certify that the attached invoice(s), or
bifl(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
FEB 13
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
80906 $325.00
I 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