215150 12/04/2012 \�f CITY OF CARMEL, INDIANA VENDOR: 353696 Page 1 of 1
ONE CIVIC SQUARE POWER SYSTEMS INC CHECK AMOUNT: $44.43
CARMEL, INDIANA 46032 PO BOX 51030
KNOXVILLE TN 37950-1030 CHECK NUMBER: 215150
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4238000 1366682 44 .43 SMALL TOOLS & MINOR E
POWER PO Box 51030 INVOICE
K nox.vi I I e,TN 37950
800,321,69 75 TOLL-FREE
865769.8223 PHONE
865769.8211 FAX 1366682 277792 11/14/2012 1 of 1
FIN #; 58-1501009
SYSTEMSpowersysterns.com
Bill To: CARMEL CLAY PARKS and RECREATION Ship To:WILLARD, LINDSAY
ACCOUNTS PAYABLE CARMEL CLAY PARKS& RECREATION
1411 E 116TH ST 1235 CENTRAL PARK DR E
CARMEL, IN 46032-7611 RFC.--. V-'r" 7 FD CARMEL, IN 46032-4421
USA USA
NOV 19 2012
BY
-
Ashley Hurt 10/26/2012 Net 30 Days 12/14/2012 29112 2846435
61972 Premium Revolving Low Pulley Bar 1 36.95 34.95 34.95
$34.95;!
$9.48:'
J $0.00"
$44.43'
• -. .......-..a.... 0:_ $0.0 .
-.. ....
$44.43'
A 1.5% Finance Charge or a $5.00 minimum charge will be applied to all balances over 30 days.
Sales tax is charged based on the ship-to address.
Purchase
D scription .
P.O.# nn
G.L.
Bud et
Linetscr_ 142 �li�ll/�lA/J11�.e.QQ �pU70
Purchaser Date_
Approval Date
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.
353696 Power Systems Terms
P.O. Box 51030
Knoxville, TN 37950
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
11/14/12 1366682 Attachments for fitness equipment 29112 $ 44.43
Total $ 44.43
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.
353696 Power Systems Allowed 20
P.O. Box 51030
Knoxville, TN 37950
In Sum of$
$ 44.43
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-21 1366682 4238000 $ 44.43 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
29-Nov 2012
Signature
$ 44.43 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund