215633 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 360856 Page 1 of 1
ONE CIVIC SQUARE FITNESS FIXX SERVICE INC CHECK AMOUNT: $1,816.25
s4�; CARMEL, INDIANA 46032 10085 ALLISONVILLE ROAD SUITE 205
o� FISHERS IN 46038 CHECK NUMBER: 215633
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4350000 11067 1, 816 .25 EQUIPMENT REPAIRS & M
�FITNESS FIXx
ETV"Fr) Invoice
10085 Allisonville Rd Suite 205 DEC 6 Zo�� -
Fishers, IN 46038 Date_ _ Invoice No.
(317) 435-3646 1BY0 _ _ ` __� 12/03/12 11067
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
29145 Net 30 01/02/13
Description.
Q-
----- uanfty:;,-_ "`Rate Amount
Life Fitness 95T Stop Magnets 3 18.00 54.00
Life Fitness 95T Walking Belts 2 475.00 950.00
Life Fitness 95T Headphone Jack 1 15.00 15.00
Matrix Hybrid Bike Pedal Set 1 35.00 35.00
Various HR Grips for Matrix Bikes 4 50.00 200.00
Matrix Upright Bike Crank Assembly 1 136.00 136.00
Matrix Headphone Jack 1 10.00 10.00
General Labor charge for 2 technician with PM discount applied 4.5 85.00 382.50
Trip Charge(Round Trip) P.M. Discount 0.75 45.00 33.75
Purchase
Description F11'ess E.QU I®IAMT REVA I QS
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Purchaser Date_
Approval Date
Total $1,816 25
Technician:
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10085 Allisonville Road,Ste 205 _Warranty X To Be Billed
Fishers,IN 46038 _Contract _Cash
P-317.435.3646 F-317.579.0653 _Prepaid _Check
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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 agrees to pay all charges not covered by manufacturer or dealer's Technical Seerrvice �
/9 Clhr 3 Z.5
warranties. j ) ] /� r�_, Travel '_ ✓hrs. $y ,hr
Service TechniciarV/ L/ Date: f 1 ! Sales Tax
Customer A roX"'- Date: ,STota `�7
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
12/3/12 11067 Fitness equipment repairs 29145 $ 1,816.25
Total $ 1,816.25
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$
$ 1,816.25
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-21 11067 4350000 $ 1,816.25 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
13-Dec 2012
Signature
$ 1,816.25 _ Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund