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HomeMy WebLinkAbout213003 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 360856 Page 1 of 1 �4Q � ONE CIVIC SQUARE FITNESS FIXX SERVICE INC CHECK AMOUNT: $192.00 v? CARMEL, INDIANA 46032 10085 ALLISONVILLE ROAD SUITE 205 y oN`o FISHERS IN 46038 CHECK NUMBER: 213003 CHECK DATE: 9125/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4350000 10793 192 . 00 EQUIPMENT REPAIRS & M FITNESS FIXX Invoice 'k., 10085 Allisonville Rd Suite 205 Fishers, IN 46038 Date Irivoice<No. �, (317) 435-3646 4 09/06/12 10793 Bill To: Ship'T Carmel Clay Parks and Recreation Monon Center 1411 E. 116th Street 1235 Central Paris Drive East Carmel, IN 46032 Carmel, IN 46032 R O Number Terms Due Date MC003266 Net 30 10/06/12 Description Quarifity Rate Amount Cybex Add On Bumper 2 26.00 52.00 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 45.00 33.75 Purchase Description Qix. e P.O.# Mc oo s z'Co P or F G.L.#J()f4 -DI ,gpcoJ Budaet ' Line`bescr_az_'zr0_.R _'-4n4 '_A g/�� Purchaser Date Approval _Date Total $1:92.00 t Technician: FITNESS F I X X Service Ticket/PO#: N K �UA!/TY JfAi/Cf AYO W N f09 f//i'fSS 4911IR/CAr ©-1 Z J V111 Payment Method: 10085 Allisonville Road,Ste 205 _Warranty --)0 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: � Email: Cav'vvi c � S cv� k 5 �- e C . Customer: Contact: 1 �5 ; Phone: S r -7) ` - :5 Z q Address: City: lr State: J Zip: Manufacturer/Model: Serial#: Date" syStart�Tme ?;� EndsTime , Tim e Service Call#1 - Service Z Service Call#2 Service Required I Trouble Reported: rro �t- _ OL J(� •- an (.�l e i �U /►1 Q✓15, ° Mc• r; e 11 1 T�C 5 IA&S 121 V.0 k %er 41 u Cli GEX riof-so n q osn Sect' ve--s� c? r® etr Actual Failure&Service Performed: ® � V 3 �Pd O C. LAJo&.1 o-old - 'ot e\ e i h u rox mod`S _ E i �7 �-e✓� s i O t! ; o r- e lk�e S S ` ve 06 CI S t.�1 -� 5 d`�t i ► a V s4 d �� � v5 5 C � c gE IZ `r e i 0 ti FIN t �`# i�� ���,�� n Quanta .. Fxt _ $.i.P.artDescn gone _ „° *'- Item;P.rice� Total c. 2 X Add -OA r Z6 .GC' SZ ® V Signatures below indicate that the above work has been performed to the customer's satisfaction, Parts Total J5 f 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 to pay all charges not covere by manufacturer or dealer's Technical Service $85/hr / 0 (0 • Z 5 varranties. Travel! Shrs. $ /5/hr 33 .-7 iervice Technician: Date' / I Z Sales Tax ;ustomer Approval: , Date: � .r; `� ? Total= 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 916112 10793 Fitness equipment repair $ 192.00 Total $ 192.00 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$ $ 192.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1096-21 10793 4350000 $ 192.00 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 20-Sep 2012 r Signature $ 192.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund