207751 04/10/2012 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: $4,389.00
t INDIANAPOLIS IN 46250
CHECK NUMBER: 207751
CHECK DATE: 4/1012012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 24303 24969 4,389.00 44
INV ®ICE
Fitness Fquic�ment INVOICE NUMBER 0024971 -IN
INVOICE DATE 03/26/2012
8128 Castleway Court West SALESPERSON TIM RAGAN
Indianapolis, IN 46250 CUSTOMER NUMBER 01 CARO1
(317) 845 7700
Fax: (317) 845 -7704
www. bobblockfitness. corn
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:
P.O. NUMBER PAID BY: CHECK# REFERENCE TERMS
24300 DUE ON RECEIPT
ITEM DESCRIPTION ORDERED SHIPPED B/O UNIT PRICE TOTAL
TRCS50OT2W CS500 TREADMILL 2 WINDOW 1 1 0 4,300.00 4,300.00
DISPLAY
SERIAL (B) 12- TCS500118A (C) 11- 310191E
INSTALLED BY: JOSHUA JACK
THANK YOU FOR THE OPPORTUNITY TO BE OF SERVICE Net Invoice: 4.300.00
Freight: 89.00
Sales Tax: 0.00
4,389.00
Less Deposit: 0.00
4,389.00
Affdm&.H1"C& INV ®ICE
Fitness FquipFnent INVOICE NUMBER 0024969 -IN
INVOICE DATE 03/27/2012
8128 Castleway Court West SALESPERSON TIM RAGAN
Indianapolis, IN 46250 CUSTOMER NUMBER 01 -CARO1
(317) 845 -7700
Fax: (317) 845 -7704
www. bobblockfitness. com
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:
P.O. NUMBER PAID BY: CHECK# REFERENCE TERMS
24303 DUE ON RECEIPT
ITEM DESCRIPTION ORDERED SHIPPED B/O UNIT PRICE TOTAL
TRCS50OT2W CS500 TREADMILL 2 WINDOW 1 1 0 4,300.00 4,300.00
DISPLAY
SERIAL (b) 12- TCS500119A (c) 11- 310148E
THANK YOU FOR THE OPPORTUNITY TO BE OF SERVICE Net Invoice: 4.300.00
Freight: 89.00
Sales Tax: 0.00
4,389.00
Less Deposit: 0.00
4,389.00
VOUCHER NO. WARRANT NO.
Bob Block Fitness ALLOWED 20
IN SUM OF
8128 Castleway Court West
Indianapolis, IN 46250
$4,389.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# 1 Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
24303 I 24969 1 102- 670.99 I $4,389.00 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
APR 9 2012
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))
24969 $4,389.00
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