HomeMy WebLinkAbout210840 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 360856 Page 1 of 1
0 ONE CIVIC SQUARE FITNESS FIXX SERVICE INC CHECK AMOUNT: $80.00
CARMEL, INDIANA 46032 10085 ALLISONVILLE ROAD SUITE 205
FISHERS IN 46038 CHECK NUMBER: 210840
CHECK DATE: 7/1712012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4350000 10553 80 . 00 EQUIPMENT REPAIRS & M
FITNESS FIXX = 'j D Invoice
10085 Allisonville Rd Suite 205
JUN 2 2 2012 Date Invoke No. ,?
Fishers, IN 46038
(317) 435-3646 B�': 06/21/12 10553
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 Texrrrs` . Due Date
MC003049 Net 30 07/21/12
Denptrorr Quantity Rate Amount
Right Angle Line Cord 1 35.00 35.00
Matrix Hybrid Seat Back Cover 1 35.00 35.00
Delivery Charge 1 10.00 10.00
Purchase
Description �2 Vu—MA-)kw
P.O.# mG00:304 a P C&
G.L.# I09CC) `Q `- 3 "CO
Budget
Line Descr
Eno
Purchaser Date
Approval Date
Tatal! $80.00
Technician:
YFITNESS 9 FIXX Service Ticket/PO#: 2-012-3
r Payment Method:
1`-0085 Allisonville Road,Ste 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: /; PiA e ( /� 1 (��� � ��� Email:
Customer: f,�(/'t ^ r� Contact: t -0,- Phone: 7S �9
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Manufacturer/Model: l Serial#: `j (`
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Service Call#2
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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 Call Fee
(except as noted).Custo agrees pay all cha es not covered by anufacturer or dealer's Technical Service $ /hr
warranties. l Travel hrs. $ /hr
Service Technician: Date: Z - r Sales Tax
Customer A r al: Date:
White-Billing,Yellow-Customer