212974 09/25/2012 CITY OF CARMEL INDIANA VENDOR: 361939 Page 1 of 1
` ONE CIVIC SQUARE DIRECT FITNESS SOLUTIONS CHECK AMOUNT: $243.32
o CARMEL, INDIANA 46032 600 TOWER ROAD
o� MUNDELEIN IL 60060 CHECK NUMBER: 212974
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4350000 77539 243 . 32 EQUIPMENT REPAIRS & M
600 Tower Road Invoice
Mundelein, IL 60060 DIRECT FITNESS
(800) 838-2819 SOLUTI®NS, LLC. Invoice No.:
(847)680-9300 www.directfitnesssolutions.com 77539
(847) 680-8906
Bill To: �' "T ; �, Ship To:
The Monon Center East The Monon Center East
City of Carmel AUG 2 9 2012 1195 Central Park Drive West
1411 E. 116th St. Carmel, IN 46032
Carmel, IN 46032 B.
Date Ship Via Customer ID Terms
--" 08/24/12 DFS Truck 00233675 DUE UPON RECEIPT
Purchase Order Number Order Date Sales Person Our Order Number
08/14/12 Justin Mize 7--19$
Quantit Item Number Description Unit Price Amount
Required Shipped
1 1 PARTS Parts 88.32 88.32
1 1 LABOR Labor Charge 80.00 80.00
1 1 TRIP Trip Charge 75.00 75.00
Invoice subtotal 243.32
Invoice total 243.32
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Purchaser Date
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CHANGES TO PAYMENT TERMS:Unless
preexisting contractual agreements have been
approved,Direct Fitness Solutions has Thank you for your business!
changed all"payment terms to Due Upon
Receipt.We appreciate your cooperation in
this matter.Should you have any questions
regarding your payment agreement please
contact the accounting deparment.
OTY. MATERIAL PFIiCE AMOUNT 0@. 7 7 5 3 9
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600 Turner Road
Murd,6ein,IL 60060
Phone-,(800)838-2819
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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.
361939 Direct Fitness Solutions, LLC Terms
600 Tower Road
Mundelein, IL 60060
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
8/24/12 77539., Fitness equipment repair $ 243.32
Total $ 243.32
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.
361939 Direct Fitness Solutions, LLC Allowed 20
600 Tower Road
Mundelein, IL 60060
In Sum of$
$ 243.32
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#[TITLE AMOUNT Board Members
Dept#
1096-21 77539 4350000 $ 243.32 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
Signature
$ 243.32 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund