206972 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 026625 Page 1 of 1
ONE CIVIC SQUARE BOB BLOCK FITNESS EQUIP
CARMEL, INDIANA 46032 8128 CASTLEWAY COURT WEST CHECK AMOUNT: $505.20
INDIANAPOLIS IN 46250
„a CHECK NUMBER: 206972
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 24309 24977 505.20 WEIGHT STA 44
'BI7157 SALES ORDER
Fitness Equipment SALES ORDER NUMBER 0024977
DATE: 2/3/2012
8128 Castleway Court West
I SALES PERSON TIM RAGAN
Indianapolis, IN 46250
317- 845 -7700 CUSTOMER NUMBER: 01 -CAR01
Fax: 317- 845 -7704
wmv.bobblockf tness.coin
SOLD TO: CARMEL FIRE DEPARTMENT SHIP TO: CARMEL FIRE DEPARTMENT 44
2 Civic Square 5032 East Main
CARMEL, IN 46032 CARMEL, IN 46033
CONFIRM TO:
CUSTOMER P.O.# DELIVERY DATE DELIVERY TIME TELEPHONE PAYMENT TYPE
24309 (317) 571 -2600
QTY ITEM DESCRIPTION PRICE AMOUNT
2 HAMPH90 HAMPTON 90# GRAY HEX DBELL 80.10 160.20
2 HAMPH100 HAMPTN 100# GRAY HEX DBELL 89.00 178.00
1 Med Ball 201-b (The Slammer) 89.00 89.00
Signature: Date: Net Order: 427.20
Expertly Delivered and Installed by Freight: 78.00
Sales Tax: 0.00
Sticker Installed YES NO 505.20
Less Deposit: 0.00
505.20
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))
24977 $505.20
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 N WARRANT NO.
ALLOWED 20
Bob Block Fitness
IN SUM OF
8128 Castleway Court West
Indianapolis, IN 46250
$505.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
24309 I 24977 1 102 670.99 I $505.20 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
MAR 12 2012
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund