210508 07/05/2012 F CITY OF CARMEL, INDIANA VENDOR: 353696 Page 1 of 1
ONE CIVIC SQUARE POWER SYSTEMS INC
CARMEL, INDIANA 46032 PO BOX 51030 CHECK AMOUNT: $7,398.70
KNOXVILLE TN 37950 -1030
CHECK NUMBER: 210508
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4238000 1312836 7,398.70 SMALL TOOLS MINOR E
�c PO Box 51030 INVOIC
E<noxvill e,TN 3750
800,521.697.5 TOLL -FREE 1312836
865,769,8223 PHONE 6/7/2012
865,769,8211 FAX 1 of 1
FIN 58- 1501009
gym, powersystems.corn
RECEIVE
JUN 11 2012
LBY
Bill To: CARMEL CLAY PARKS and RECREATION Ship To: KOEPPER, DAWN
ACCOUNTS PAYABLE CARMEL CLAY PARKS and RECREATI
1411 E 116TH ST ADMINISTRATIVE OFFICE
CARMEL, IN 46032 -7611 1411 E 116TH ST
USA CARMEL, IN 46032 -3455
USA
277792 sem 6/6/2012 Net 30 Days 7/7/2012 30899 2798890
s
1 91242 Aerobic Bar Vertical Storage Rack 1 1 0 EA 112.46 112.46
2 20610 "Premium Power -Plyo Box Set (1 ea. 12, 18, 1 1 0 EA 487.46 487.46
3 75100 Airex Mat Coronella 72" L x 23" W x 5/8" thick 80 80 0 EA 80.96 6,476.80
Purchase
Descrlption lb t1 aJ (f p Yr=L
P.O. 30S99 P-Z
G.L.#
Budget d&Vt -EWJ)
Line escr
Purchaser Date_,
Approval Date___,_
$7,076.72 $0.00 $321.98 $0.00 $0.00 $7,398.70
COMMENTS
r_ar_mprint_us A 1.5% Finance Charge or a $5.00 minimum charge will be applied to all balances over 30 days.
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.
353696 Power Systems Terms
P.O. Box 51030
Knoxville, TN 37950
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6/7/12 1312836 Fitness equipment 30899 7,398.70
Total 7,398.70
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.
353696 Power Systems Allowed 20
P.O. Box 51030
Knoxville, TN 37950
In Sum of
7,398.70
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -21 1312836 4238000 7,398.70 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
lom /TLn
Signature
7,398.70 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund