207386 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 026625 Page 1 of 1
ONE CIVIC SQUARE BOB BLOCK FITNESS EQUIP CHECK AMOUNT: $3,118.00
CARMEL, INDIANA 46032 8128 CASTLEWAY COURT WEST
INDIANAPOLIS IN 46250 CHECK NUMBER: 207386
CHECK DATE: 3/26/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 R4467099 24282 24703 3,118.00
ff/"Z 7.
INVOICE
Fitness Equic�ment INVOICE NUMBER 0024703 -IN
INVOICE DATE 03/09/2012
8128 Castleway Court 6iest SALESPERSON TIM RAGAN
Indianapolis, IN 46250 CUSTOMER NUMBER 01 CAR0 1
(317) 845 -7700
Fax: (317) 845 -7704
www. bobbl ockfitness. cons
SOLD TO: CARMEL FIRE DEPARTMENT SHIP TO: CARMEL FIRE DEPARTMENT 43
2 Civic Square 3242 E. 106th St.
CARMEL, IN 46032 CARMEL, IN 46033
CONFIRM TO: RICK MARTIN
P.O. NUMBER PAID BY: CHECK# REFERENCE TERMS
24282 DUE O RECEIPT
ITEM DESCRIPTION ORDERED SHIPPED B/O UNIT PRICE TOTAL
HOIHD2400 HOIST SEATED LEG EXTENSION 1 1 0 2,550.00 2,550.00
SERIAL 11- 03 -A06- 024511
LS STRETCH LIFE SPAN STRETCH PARTNER 1 1 0 379.00 379.00
HEX TRAP BAR AOT -56 1 1 0 189.00 189.00
INSTALLED BY: JOSHUA JACK
THANK YOU FOR THE OPPORTUNITY TO BE OF SERVICE Net Invoice: 3.1 18.00
Freight: 0.00
Sales Tax: 0.00
3,118.00
Less Deposit: 0.00
3,118.00
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))
24703 $3,118.00
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
ALLOWED 20
Bob Block Fitness
IN SUM OF
8128 Castleway Court West
Indianapolis, IN 46250
$3,118.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
24282 I 24703 1 102 670.99 I $3,118.00 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
C
1
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund