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Home My WebLink About211282 07/31/2012 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: $1,065.00 ' ? FISHERS IN 46038 CHECK NUMBER: 211282 CHECK DATE: 7/31/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4350000 10616 1, 065 . 00 EQUIPMENT REPAIRS & M FITNIESS Fixx Invoice .. 10085 Allisonville Rd Suite 205 Fishers, IN 46038 <Date _:. Invoice No. (317) 435-3646 07/11 112 10616 Bill To: . P = Carmel Clay Parks and Recreation Monon Center 1411 E. 116th Street 1235 Central Park Drive East Carmel, IN 46032 Cannel, IN 46032 PC Number ? Terrns Due Date 30686 Net 30 08/10/12 :. Descr r ttorr Quantr Rate _- Amount p �. tY Preventative Maintenance on Fitness Room 1 1,065.00 1,065.00 g EL D J BY, Purchase t�1 �1Y1 m Q U Z !7L7YX�� Description P.O.# �('Yn� P P G.L.# I/1/n-,/ -�1'� 3�0 ,�,��,� Budget +,=a ' ��l Z� � �I ) LLiTt- Line escr Purchaser Date — Approval Date `Total $1;065.00 Technician: ��' FIT �,,T E S (� F-(X Service Ticket/PO#: -7 l � � "I"firr SfRPlCf A1YO RIA4 A AM f/rIfXSifOU/006VT r Payment Method: 10085 Allisonville Road,Ste 205 _Warranty X To Be Billed Fishers,IN 46038 X 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: r'? _ G` � Email: Customer: Contact: _ Phone: Address: Z 3 ,ity: State Zip: S C.4-�,i 1 - 7r_ &5-L- .!r-J Manufacturer/Model: Serial#: L 1=-,J-,e ss C 1a e K > c r � 5 _' Dafev •� 'w . 'tart�Time„ EndtT;iirie� � W$6rvic_e TIi e e Service Call#1 Service Cali#2 TotallSery 9,0 me Service Required I Trouble Reported: l _ - s Actual Failure &Service Performed: �-t.J�tfte- e�tZc�a �o1G`�L15v�j51 wC Q_ cz GrS � U + �i�J�` `✓ti_w��2_ v�V t - C, G�S It�O G•�7 CIM +K+r J¢.Gg.,.�e- �/ i U,C-lS Av �.Q,�f _ vi2p� `Sa1�S'T��►-C.Q, 5,�+. Y,,. �:a2 Bog-23t�s3`i ►�t'S ►z �t�5 — cusp SW 6�,-,,.� 1.�.Y >� t� �- rY ►'�-� � ��1n��-- c a� o F�v�-°b�►' C�c.-i �,�.'r,.-G„ ..-- �-� w�< A Quantf i .I?a w �' P,art.Descri tioh �p _ ItemzPrice MOT.otal_ c� �j W°`.c°'� "�G�-�S C v��JS .c-w"i�r j/ �.. Ll Ci•+_ �._r-,.,•.: f�•r:-� �-.i(�-v. �'�/e- � mc.-sL-�-.-.� atcCr.Ce.c� •c ti c� "mac -� �." CA — V 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}.Customers a ryes to pay all charges not covered by manufacturer or dealer's Technical Service $ /hr warranties. /7 _I Travel hrs.@$ /hr ,Service Techni ' n: Date: Sales Tax tomerA royal. A Date: 5 TotalG - White-Billing,Yellow-Customer + r # Technician: Od Al/11SPAr/CfAA Service Ticket/PO# 7 in k-?- t , t- F l TNE S S F I X d 7 RF,04Ia faf fMMSS FRAMlft Payment Method: 10085 Allisonville Road,Suite 205 _Warranty X To Be Billed Fishers,IN 46038 _Contract _Cash P-(317)435-3646 F-(317)579-0653 _Prepaid _Check W-www.fitnessftxx.com/E-service @fitnessfixx.net _New Customer —Charge Bill To: I Email: Customer: Contact Phone: J t 5 Address: City: State Zip: �-�.J ILl bo 3 Z- = A.� ditiona' Techi ic�an NjLotes t CA-0-C4 yr � � r� � b�� Ls �u'5 b'A—S mat V--Li i �.�-E- 1i/1..ee�is ors-t` c.� w-��::� Q�l`�sJ•,.�..-�o�-� �U l� V `5 � - Vi �� 1!�S `? 4- V jvl av� a�� tvdt. ,�j t�a�ss.- - � J'fZL-✓�� G-� d- 71�c-1C._ �� 2.1�C�S,9��_� -�-yam.._. w-\-% 'f1 Y 1-6 ; C� iv�"�-tom — ca,nria ,r: I �✓w-- �/ CW v'. t0 f�S 1-ec� ► 4 Le'� CZ — A----o-e- c+--- olG S -J&* — Z c l C.— -F vas z 4 I�jarl� �X� �-�--�.- Glr�J w �-vv�:ss Lv- ��y-i L -�. r�-•l crv�� I �44 I 'Signatures below indicate that the above work has been performed to the customer's satisfaction, that the parts listed were replaced,and that the equipment has been left in good working condition 4f (except as noted).Custome agrees to pay all charges not covered by manufacturer or dealer's warranties. !!/� Service Technic an: Date: Customer Approval: I Date: " White-Billing,Yellow-Customer f 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 7/11/12 10616 Preventive maintenance Fitness equipment 30686 $ 1,065.00 Total $ 1,065.00 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 i Voucher No. Warrant No. 360856 Fitness Fixx Services, Inc. Allowed 20 10085 Allisonville Rd, Suite 205 Fishers, IN 46038 In Sum of$ $ 1,065.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1096-21 10616 4350000 $ 1,065.00 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 26-Jul 2012 ��[�I�LVY�I�YLQ1t1 Signature $ 1,065.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund