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209769 06/18/2012
CITY OF CARMEL, INDIANA VENDOR: 360856 Page 1 of 1 ONE CIVIC SQUARE FITNESS FIXX SERVICE INC CHECK AMOUNT: $724.75 CARMEL, INDIANA 46032 10085 ALLISONVILLE ROAD SUITE 205 FISHERS IN 46038 CHECK NUMBER: 209769 CHECK DATE: 6/18/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4237000 10465 528.50 REPAIR PARTS 1096 4350000 10482 196.25 EQUIPMENT REPAIRS M FITNESS FIXx Invoice 10085 Allisonville Rd Suite 205 Fishers, IN 46038 Date Invoice No. (317) 435 -3646 05/17/12 10465 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 06/16/12 Descrrptron:; Quantity Rate Amount Single Tricep Rope 1 55.00 55.00 Cybex VR3 Glute Elbow Pad 2 55.00 110.00 Cybex Leg Raise Arm Pad Cover 1 16.00 16.00 Cybex Leg Curl Calf Pad 1 125.00 125.00 Cybex Torso Rotation Seat Pad 1 70.00 70.00 Cybex Abdominal Back Pad 1 55.00 55.00 General Labor charge for 2 technician with PM discount applied 0.75 85.00 63.75 Trip Charge (Round Trip) P.M. Discount 0.75 45.00 33.75 i Purchase Descriptiori� IrU cal t. T G p&)I J L. P.o. n7(n P F G.L. 4�� 7" y-, Budget Line Descr Purchaser Date Approval Date =Total $528.5.0. Technician: v\ c; F F I X X Service Ticket/ PO 4,(Arr SffMf AW NfPA AM f1f ffSS fO111PA y Payment Method: 10085 Allisonville Road, Suite 205 Warranty To Be Billed Fishers, IN 46038 Contract Cash P (317) 435 -3646 F (317) 579 -0653 Prepaid Check W www.fitnessfixx.com E service @fitnessfixx.net New Customer Charge Bill To: F C- a Email: Customer: Contact: Phone: P on ti e r- f 573- -L Address: City: AI e— State: A Zip: L-1603 Manufacturer /Model: Serial MW Seivi iine Service Call #1 t j C 1 l,►a t 1 r Service Call #2 Service Required /Trouble Reported: v e-,Y-Y 4 re n ltx e U Ow err d Ovid' J oe- +-o l Actual Failure Servia6 Performed: e l L� 0 C c� A e� ®v e tr 5 0�►� e Le IZ 's Le i yr o r -5 o A d a 4 f` a A b C 12 s_ L Part, escn tion>� Quanta j. Part. Z t l AItem Total 1 t� C L ic�O e r V 19 ed VQ d 1 a cr L 2-6,P c, Se Signatures below indicate that the above work has been performed to the customer's satisfaction, Parts Total 31 0 that the parts listed were replaced, and that the equipment has been left in good working condition Service Call Fee (except as noted). Custom gree to pay all charges not covere by manufacturer or dealer's Technical Service lc 2 3 7 6 warranties. Travel ?�hrs. $�l/hr -3 3 .7 Service Technician: Date: 1 Sales Tax Customer A roval: Date: I Total M- 0 White White Billing, Yellow Customer FITNE FIXX Invoice 10085 Allisonville Rd Suite 205 R E CVE0 Fishers, IN 46038 Date `:Invoice No. MAY 2 20 05/22/12 10482 (317) 435 -3646 BiII.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 MC002914 Net 30 06/21/12 Descnptiori Quarifty Rate Amount Life Fitness Stride Sensor 1 75.00 75.00 Matrix Heart Rate Wire 1 25.00 25.00 PM Discount Labor for one technician 1.25 50.00 62.50 Trip Charge (Round Trip) P.M. Discount 0.75 45.00 33.75 Purchase dr,-,r_.rip ±ion P.O. !"V1 C� ©aG1 P r G.L. /D Bud_ t Line Descr Purchaser Date.__,., Approval Data_ Total $196.25:: Technician: 7s 0 'Y'FINESSFIXX Service Ticket/ PO Z' �j G' r2- 3M Ouan�r sfPeis foa Firufss f0111AAA yr Payment Method: 10085 Allisonville Road, Suite 205 Warranty Tb Be Billed Fishers, IN 46038 Contract Cash P (317) 435 -3646 F (317) 579 -0653 Prepaid Check W www.fitnessfixx.com E service @fitnessfixx.net New Customer Charge Bill To: �P /1 I Email: �G-Y' 1+'�� l sG P^ (0 0 Q A C tr Customer: eC Contact: t 5 Phone: 7s GZ Address: bT i L.— Q State e Zip: L �f 1 2 3 Gem f� ai v E, �v'f 1 Manufacturer /Model: Serial at7 Rate StactTime End�Tim Service Time Service Call 91 Service Call #2 Totale5erv '64 Service Required /Trouble Reported: e 5 V Actual Failure Service Performed:. c, p 7 C S 1a e d S O I Ve- �S s lea.. C t✓2 u c &0 0 11507 n r c n I C S "v.( IN F, Part,Desc i ton r Item ft fl Quanti r. Part, el l s T e_ GG r, 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 Service Cail Fee (except as noted). Customers agrees to pay all charges not covered y manufacturer or dealer's Technical Service O /hr warranties. j Travel 77hrs. /hr J Service Technician te: �j Z t Sales Tax 3 Customer A royal �t,i� Date: NM I 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 5/17/12 10465 Fitness equipment repair 30676 528.50 5/22/12 10482 Fitness equipment repair 196.25 Total 724.75 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. 360856 Fitness Fixx Services, Inc. Allowed 20 10085 Allisonville Rd, Suite 205 Fishers, IN 46038 In Sum of 724.75 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1096 -21 10465 4237000 528.50 1 hereby certify that the attached invoice(s), or 1096 -21 10482 4350000 196.25 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 14 -Jun 2012 Signature 724.75 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund