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Home My WebLink About212196 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 360856 Page 1 of 1 0 4' ONE CIVIC SQUARE FITNESS FIXX SERVICE INC CARMEL, INDIANA 46032 10085 ALLISONVILLE ROAD SUITE 205 CHECK AMOUNT: $495.00 FISHERS IN 46038 CHECK NUMBER: 212196 CHECK DATE: 8128/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4350000 10698 85 . 00 EQUIPMENT REPAIRS & M 1096 4350000 10722 410 . 00 EQUIPMENT REPAIRS & M FITNESS Fixx Invoice 10085 Allisonville Rd Suite 205 - Fishers, IN 46038 Date Invoice No. 08/07/12 10698 (317) 435-3646 AUG 0 2012 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.b Number Terms Due Date 803124JM Net 30 09/06/12 Description ZQuantf}r , Rate Amount Preventative Maintenance Discounted Service Call Fee 1 85.00 85.00 Purchase _ De3crlpiion P.O.# P or F G.L.# Ll3``6a-)(D Budget Line bescr��JC� I MC'J Purchaser Date Approval n>< Date Total: Technician: C �� FI-TN ES S FIXX Servi ce Ticket/PO#: ( ®.f AM f/ j� Payment Method: 10085 Allisonville Road,Ste 205 _Warranty —XTo 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: Email: QiO� (��In�� Customer: ;e_G Contact: l A ; ` Phone: r r Address: — State: Zip:J ` 3� Manufacturer/Model: �` U'X Serial#: Service Call#1 Service Call#2 Service Required/Trouble Reported: Actual Failure 8 Service Performed: C, e e td S �/cl w. U f�►► •�i�'s e c:C ,vv`t�l rl' O vt g - e 01 r f G i vi d (!;?-A 01 C,e r® 60 110�I G' e �' �,r P s/�< 03 1-55 v e. . Quanti c "apart.#°. �� -�c� �,,�•�x._ s ��Part;Descn Mona �� -'g ,� � �Item�Price3�`��`�`� Total 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 agreeff to pay all charges not covered anufacturer or dealer's Technical Service $ /hr warranties. Travel hrs. $ /hr Service Technician: Date: 8 r Sales Tax 3 .s,� Customer App royal: Date: — , j White-Billing,Yellow-Customer �r nom,E' � .�.".!,+. vJ� FITNESS FIXX - � Invoice 10085 A lisonville Rd Suite 205 AUG 2 12012 Fishers, IN 46038 �I ;Date Invoice No. (317) 435-3646 08/20/12 10722 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 31131 Net 30 09/19/12 Descn ount Cybex ArcTrainer 12 V Battery 1 50.00 50.00 Cybex Arm Curl Elbow Pad 1 120.00 120.00 Matrix Elliptical HR Grip/Sensor Sets 2 50.00 100.00 General Labor charge for 2 technician with PM discount applied 1.25 85.00 106.25 Trip Charge(Round Trip) P.M. Discount 0.75 +5.00 33.75 Purchase Description P.O.# 3l 1 11 P G.L.# Budget Line Descrl 1 l lD 110 711 n Il°l f Yl C( (➢L . Purchaser Date Approval Date Total $410.00 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 8/7/12 10698 Fitness equipment repair $ 85.00 8/20/12 10722 Fitness equipment repair 31131 $ 410.00 Total $ 495.00 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 Voucher No. Warrant No. 360856 Fitness Fixx Services, Inc. Allowed 20 10085 Allisonville Rd, Suite 205 Fishers, IN 46038 In Sum of$ $ 495.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1096-21 10698 4350000 $ 85.00 1 hereby certify that the attached invoice(s), or 1096-21 10722 4350000 $ 410.00 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 23-Aug 2012 Signature $ 495.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund