HomeMy WebLinkAbout207126 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 364209 Page 1 of 1
ONE CIVIC SQUARE JOHNSON HEALTH TECH NA INC
CHECK AMOUNT: $1,999.00
CARMEL, INDIANA 46032 1600 LANDMARK DRIVE
COTTAGE GROVE WI 53527 CHECK NUMBER: 207126
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4350000 9000940426 1,999.00 EQUIPMENT REPAIRS M
Johnson Health Tech NA Inc. INVOICE
Z071600 Landmark Drive Document 9000940426
Cottage Grove, WI 53527
J H N S 0 N Phone: 608- 839 -1240 Date 02/22/2012
Fax: 608- 839 -1260 Page 1 of 1
Bill -To: 33001910 FFEB 2012 i Ship -To: 33004423
CARMEL CLAY PARKS AND REQ e I Clay Park and Rec Carmel
1411 E 116th St Collene Broderick
Carmel, IN 46032 1235 Central Park Dr E
Carmel, IN 46032
Comment:
Shipping Comment: Attn: Lindsay Willard (317) 573 -5249
Purchase Order No. Sales Order No. Sales Person ID Shipping Method Terms Due Date
30462 100522413 GLTM (GreatLakes -TM) UPS GROUND Net 30 03/23/2012
LN# Qty. Model Number Item Number Description List Price Net Unit Price Ext. Price
0010 2 MX15 -DTV ZMD3002555 TV -15" Matrix Mye 1,495.00 _897.00 1,794.00
Serial Number(s): MX15DTV11124445
MX15DT1/11124446 01
�7
.::c!ipticn /w U/- ac,*_
;a.L. l y DD c;?/ 00
cr
L to
Remit To: Discount (s) 0.00 Freight 205.00
Johnson Health Tech NA Inc. Misc. 0.00 Freight Disc. 0.00
1600 Landmark Drive Other Fees 0.00 Tax 0.00
Cottage-Grove, WI 53527 �a
Subtotal 1,794 00 jotah USD 1 999.00
A Service Charge of 1.5% Per Month
Will Apply To All Delinquent Balances X
VISION FITNESS. fir® °_r Fz 1
ME
I4 OIUZON
FIrNESS
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.
364209 Johnson Health Tech NA, Inc. Terms
1600 Landmark Drive
Cottage Grove, WI 53527
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
2/22112 9000940426 Replace bike tv's 30462 1,999.00
Tvtat 1,999.00
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
Voucher No. Warrant No.
364209 Johnson Health Tech NA, Inc. Allowed 20
1600 Landmark Drive
Cottage Grove, WI 53527
In Sum of
1,999.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -21 9000940426 4350000 1,999.00 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
8 -Mar 2012
Signature
1,999.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund