210352 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 360856 Page 1 of 1
ONE CIVIC SQUARE FITNESS FIXX SERVICE INC
CARMEL, INDIANA 46032 10085 ALLISONVILLE ROAD SUITE 205 CHECK AMOUNT: $347.50
FISHERS IN 46038
CHECK NUMBER: 210352
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4350000 10522 347.50 EQUIPMENT REPAIRS M
FITNESS FIXX Invoice
10085 Allisonville Rd Suite 205 R C ��D
Fishers, IN 46038 JUN O 8 2012 Date Invoice No.
(317) 435 -3646 06/06/12 10522
BY:
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
PO. Number Terms Due Date
30885 Net 30 07/06/12
Description': Quantity Rate Amount
Matrix Upright Bike Console 1 275.00 275.00
PM Discount Labor for one technician 1 50.00 50.00
Trip Charge P.M. Discount 0.5 45.00 22.50
Purchase
Descriptio
P.O. —dnX 25 P or
G.L. I CGG -al 35�rnnn
Budget lY7CLU'l
Line Descr e
Purchaser Date
Approval Date
Total $347 5.b`.
Technician: 75cy�-v^'
F I T N E S S F I X X Service Ticket/ PO 606 l Z�
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Payment Method:
10085 Allisonville Road, Suite 205 Warranty _,�OTo 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: t A C Email:
Customer: Contact: 1 Phone:
ar K5 L. Il�CI a 5 7 3 y
Address: City: State: Zip:
Manufacturer /Model: Serial
Service Call #1 Z f G' O
Service Call #2
c �._yaTotalt5ervice Time
Service Required Trouble Reported: o
J u e- 4 o L o,✓k o e_ e-C f'o V-,. i
Actual Failure Service Performed:
a e- a G v r o, e v t7 r cy to T d rK 1 1
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Signatures below Indicate that the above work has been performed to the customer's satisfaction, Parts Total 2- 5 CY CP
that the parts listed were replaced, and that the equipment has been left in good working condition Service Call Fee
(except as noted). Customers agrees t pay all charges not cove re by manufacturer or dealer's Technical Service 5C)I hr 5 G d
warranties. Travel r hrs. 7 /hr Z Z
Service Technician: ate: 7 Sales Tax
Customer A royal: Date: 2
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
6/6/12 10522 Fitness equipment repairs 30885 347.50
Total 347.50
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
347.50
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -21 10522 4350000 347.50 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
28 -Jun 2012
ovrWW
Signature
347.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund