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214637 11/20/2012
CITY OF CARMEL, INDIANA VENDOR: 360856 Page 1 of 1 0 ONE CIVIC SQUARE FITNESS FIXX SERVICE INC CHECK AMOUNT: $1,456.50 CARMEL, INDIANA 46032 10085 ALLISONVILLE ROAD SUITE 205 ti.oH icy FISHERS IN 46038 CHECK NUMBER: 214637 CHECK DATE: 11/20/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4350000 10922 1, 065 . 00 EQUIPMENT REPAIRS & M 1096 4237000 10923 391 . 50 REPAIR PARTS FITNESS Fixx Invoice 10085 Allisonville Rd Suite 205 IRECEIVED - - Fishers, IN 46038 Late_ Invoice No. (317) 435-3646 OCT 19 2012 10/17/12 10922 BY: BilkTo:: Ship TtJ - - Carmel Clay Parks and Recreation Monon Center 1411 E. 116th Street 1235 Central Park Drive East Carmel, IN 46032 Carmel, IN 46032 P40 Number: Terms Due Date 30686 Net 30 11/16/12 Descnpt►on Quantity =Rate Amount Preventative Maintenance on Fitness Room 1 1,065.00 1,065.00 :rCi195e Description �� P.O.# P�r F G.L.# I_ 96- 01 - t3uduet Linebescr Purchaser Date_ Approval Date Total $1;065:00 Technician: --SO tu S,V`akA Service Ticket/PO#: /j J y%Z FITNESS fS &fA / f/I I Payme ethod• �©(Da(�D 10085Allisonville Road,Ste 205 Warranty -11*'*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: r ,I k5 + ��+ Email: Customer:1p a t2 On C� �� 1 s" Contact: �%� p� 1, /(4 rd Phone: Address: / C rC.�ty: (y State; t Zip: 0 -7 Manufacturer/Model: Serial#: ^ °����¢ 4Dafe r3:� .e StaitTiine _ s End`Tirri '` - SeiviceTim°e�; Service Call#1 Service Call#2 _ YA3n...cFru .*cu'� '°''�x""s wwsrs• - via^ +ra. r +.�me #.m�a. .c- s rnar ..a� .• v.�?u� TOtaIiURV-IFeWn ffi-e Service Required I Trouble Reported:` ) CJ e ( Prev en 4 !( 1• Ve yn(A if) 'e e;lit C-t°> Actual Failure&Service Performed: 1 G K e5 S e C, v i P M emy ac•LA) 1^{P� o;vt ell 1 i1€ S r 5e—e- V-2 iyk 4 i s-LV"V i Ci�-- � b a, �. -. n - Quanu ; C!' T'VF'15 FIT NESs Fixx OCT 19 2012 Invoice 10085 Allisonville Rd Suite 205 Fishers, IN 46038 Date Invoice No. (317) 435-3646 10117112 10923 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.0. Number Terms Due Date 31219 Net 30 11/16/12 - ipt Qua Cybex Cable Column Handrail Grip 2 20.00 40.00 Cybex Back Ext. Rail Cover 1 35.00 35.00 Cybex Crossover Grip Cap 1 25.00 25-00 Grip Tape for Standing Leg Raise 4 15.00 60.00 Grip Tape for Dip/Chin Steps 2 15.00 30.00 Grip Tape for Calf Raise Rails 2 15.00 30.00 Grip Tape for Stand Row 2 22.00 44-00 General Labor charge for 2 technician with PM discount applied 1.5 85.00 127.50 Purchase L"le�cripTlon F--Lan 0 qO—rrer-k P.O.4 3121 9 U P CF Budgc-A Line Descr Purchaser Date Approval--Date Total $391:5:0 Technician: F I T NESS F I XX Service Ticket/PO#:f Q/ 2_1 M 6'//Al/Tr XMF1 f ANO RtA4M f08 f/MSS f0U/TUfAT 6 I Z Z Payment ill�od; -l 10085 Allisonville Road,Ste 205 Warranty To Be Billed Fishers,IN 46038 —Contract Cash P-317.435.3646 F-317.579.0653 `Prepaid Check W-www.fitnessfixx.com/E-service @fitnessfixx.net ,New Customer _Charge Bill To: t p 1 f Email: �r� �1�, 1wr( l� s e ms . Customer: Contact: Phone: IM a n ©p1 . e v- Z-i-rl d. a v� 5 7 3 - 5 Z y Address: State- Zip: {2,35 Ge� �r �r� i c-• CArk Le_I 6 �Z Manufacturer/Model: Serial M Date,. Sta%tTiine a" '' Ericll�Time MSenrlcl3Time' " Service Call#1 `t 2 _ •� - k-_ Service Call#2 _.,:�, Total�5eivice Time d Service Required/Trouble Reported: Actual Failure&Service Performed: -n 5 t lQ Q �J .7,i VP •N 5 4-A I Lea- ho-t-1 Ct--- I r�� ® 1✓t S�(�_jl� tr 1 r c.-- v�( a'y �' �22-�C" /�l-�-t/t G Y03S r.�,��/'_ D *,-- S c i-F/,-- 4- ,,oA'► 5 �.e55 OtR S L V 09 fir♦ �..q, i�� IJ.�v 6Q :`Jta .0» V p L'k W Signatures below Indicate that the above work has been performed to the customer's satisfaction, Parts Total t ,ev that the parts listed were replaced,and that the equipment has been left in good working condition Service Call Fee (except as noted).Customers agrees to pay all charges not covered by manufacturer or dealer's Technical Service @$ hr 17-7, So warranties. av r /hr ��- IL IL—!_z_ ' - Service Technic n: Date: Sales Tax �j 1 Customer Approval: Date: Total t �/ i 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 10/17/12 10922 Fitness equipment preventative maintenance 30686 $ 1,065.00 10/17/12 10923 Fitness equipment repairs 31219 $ 391.50 Total $ 1,456.50 I 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$ $ 1,456.50 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT - Board Members Dept# 1096-21 10922 4350000 $ 1,065.00 1 hereby certify that the attached invoice(s), or 1096-21 10923 4237000 $ 391.50 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 15-Nov 2012 Signature $ 1,456.50 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund