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209147 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 360856 Page 1 of 1 ONE CIVIC SQUARE FITNESS FIXX SERVICE INC CHECK AMOUNT: $1,463.25 CARMEL, INDIANA 46032 10085 ALLISONVILLE ROAD SUITE 205 FISHERS IN 46038 CHECK NUMBER: 209147 CHECK DATE: 5/22/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4237000 10446 1,463.25 REPAIR PARTS f ,f Invoice pl /A!!TY SE9Y /Cf AR!/ s1F :A /9 `PP F /TRFS.r EpN /A/fR/ �;Q CT 10085 Allisonville Road, Suite 205 Y Ji f as Fishers, IN 46038 MAY 1 p 2012 (317) 435 -3646 Inv B 1'. pi oice No: 05/09/12 10446 Bill To: Ship To: Carmel Clay Parks and Recreation Monon Center 1411 E. 116th Street 1235 Central Park Drive East Carmel, IN 46032 Carmel, IN 46032 P.O. Number Terms Due Date 30676 Net 30 06/08/12 Description Quarrtity Rate; Amount Life Fitness 95Te Walking Belt 1 475.00 475.00 Life Fitness 95Te Deck 1 135.00 135.00 Life Fitness 95Te Right Angle Line Cord 1 35.00 35.00 Life Fitness 95Te Head Phone Jack 1 50.00 50.00 Matrix Head Phone Jack 3 10.00 30.00 Matrix Heart Rate Sensor Set 1 100.00 100.00 Precor Stepper Spring 1 50.00 50.00 Cybex "Cable Column" Cable 1 79.00 79.00 Cybex VR3 Leg Press Weight Belt 1 112.00 112.00 Cybex VR3 Chest Press Weight Stack Pin 1 30.00 30.00 Cybex Bench Locking Pin Assembly 1 35.00 35.00 Cybex Roman Chair Grip Cap Assembly 1 20.00 20.00 Concept II Rower Pedal Strap 1 6.00 6.00 Life Fitness 95Te "D" Shaped End Cap 1 10.00 10.00 PM Discount Labor for one technician 5.25 50.00 262.50 Trip Charge (Round Trip) P.M. Discount 0.75 45.00 33.75 Purchase Fj Ea y i P P.O. 30Co b p G. L. 16q 0 I i-�''�Db� U n e D t Line Descr Purchaser Date Approval Date Total $1,463.25 i Technician: So F 1N E S I X X Service Ticket/ PO 0 A[/>•r:SEyyVFgyp 9FO419'f011 FiFs Payment Method: J jer Warranty Be Billed 10085 Allisonville Road, Suite 205 _Contract Cash Fishers, IN 46038 P repaid Prepaid Check P (317) 435 -3646 F (317) 579 0653' New Customer Charge W www.fitnessfixx.com E service @fitnessfixx.net Email: Bill To: f o.Y S .ia' IGeG 1 Contact: Phone: 1 r 5 7 3_ r Z' I Customer: jI� d 5 tip l d d State 6 Zip: Address: r 4 —rJN Serial Manufacturer /Model: 1 r_ Dafe"I� Sta "rTi`me "r;ay�sn Erid�Time f.$ervia� e Service call #1 Z 1 5 Service Call #2 Service Required 1 Trouble Reported:. 5 S vE'-5 2 v V�a \Y C? o S fr r� G h i L° S O Actual Failure 8� Service Peril 95�re J TS 10 0 3 r e ,2 c d h. G die Cdd k Ae A t e Car �T e S v i�2 H g2 2 3 Fe t�92 aaes Art @4 t� l Ira fy1 a I 'S i a dt l 0. t1 ,v. rt 17 Q v 1I'2Cor TZ �e_J' LC►Le l� `I rte 3 P e55 c c 2 1'+ -,1 C s el; S Ca 2 s C- �G LA O Q a a �y �k ✓ate e� o l f• �temtPncer?�, arGDescn tion'�.�.,.�_:� t tj e i,Jl a k i z. H 75, P O 1 e 3 ec.K i 96 re Rte d orn2 c.c 3 01 1-I P a In© rc e S Ie F 'r S' SO C' Signatures below Indicate that the above work has been performed to the customer's satisfaction, Parts Total that the parts listed were replaced, and that the equipment has been left in good working condition that Call Fee 7 (except as noted). Customers agr esto pay all charges, not covered by manufacturer or dealer's Technical Service /hr warranties.{ Travel hrs. Op /hr s` ate: 7 Sales Tax Service Technician: i mo i CustomerA royal: I Date: Total White Billing, Yellow Customer i I Technician: O F L" �T E S S F I XX Service Ticket/ PO G O 7 L Z` 1 V-7 DUAI /I/ AfP4M AM f /IAfSS, fO111d J r Payment Method: 10085 Allisonville Road, Suite 205 Warranty _g!!S�to Be Billed Fishers, IN 46038 Contract Cash P (317) 435 -3646 F (317) 579 -0653 Prepaid Check W www.fitnessfixx.com E service @fitnessfixz.net New Customer Charge Bill To: 1 e Email: Customer: Co ntact: >1 0.Y Phone: Address: City State: Zip: Manufacturer /Model: i Serial ac 1,1. V f ;•Servlcd?Mrne Service Call #1 Service Call #2 Total $ervtceJime Service Required I Trouble Reported: j Actual Failure Service Performed: e I i Fin 54 -e^b f q c k jVLcA re P I ce 4- Cr% Q55 8 4�fc ce Fdk' S ra., 5 !00 S ac d i 5 SevtS Ov AC C U O 0!1 ra A tl v. k0 1 S r ors I 0 s C v 1,e- �x� 5, Yz �'F�„d�'A Q� i yc• v,j: a r a' L w.2;a� l a� M uan Fact ti sPart Desc lo n tntr:�, em•:Price; vtTotal V bi e; h+ e t! Z C VP-3 C e6+ S Lile TI kv C 30. C Cc c e e (2, 00 5 G. z �sn o. v Signatures below indicate that the above work has been performed to the customer's sa faction, Parts Total 7 I that the parts listed were replaced, and that the equipment has been left In good working condition Service Call Fee C' z t; z S v (except as noted). Customers agrees to pay all charges not covered by manufacturer or dealer's Technical Service $7 Ihr warranties. I Travel 75hrs. I- /5 /hr 3 3 7 5 Service Technicaa r Date: 7 Sales Tax y 1 Customer A royal: I Date: 'Tota4 White Billing, Yellow Customer 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. 360856 Fitness Fixx Services, Inc. Terms 10085 Allisonville Rd, Suite 205 Fishers, IN 46038 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 5/9/12 10446 Fitness equipment repair 30676 1,463.25 Total 1,463.25 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 No. 360856 Fitness Fixx Services, Inc. Allowed 20 10085 Allisonville Rd, Suite 205 Fishers, IN 46038 In Sum of 1,463.25 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1096 -21 10446 4237000 1,463.25 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 17 -May 2012 MMIY20 Signature 1,463.25 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund