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Home My WebLink About215974 01/09/2013 a CITY OF CARMEL, INDIANA VENDOR: 362614 Page 1 of 1 ONE CIVIC SQUARE BGI FITNESS CARMEL, INDIANA 46032 4340 EAST 82ND ST CHECK AMOUNT: $512.15 INDIANAPOLIS IN 46250 ,o. CHECK NUMBER: 215974 CHECK DATE: 1/9/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 R4237000 25506 341851 512 . 15 TIRES/WHEEL/CHAIN BGI Fitness Work Order#: 94075 BGI Fitness PLEASE NOTE OUR NEW ADDRESS INVOICE#: 341851 Account#: 000100024799 Bicycle Garage Indy Page: 1 of 1 4340 E. 82nd Street Date: 12/18/2012 Indianapolis, M 46250 Time: 10:19:55 AM Cashier: LK Register#: 1012 Reference: COM/PO#25506 Comment: PO#25506 Bill To: Carmel Police Department Ship To: Carmel Police Department Carmel Police Department Carmel Police Department 3 Civic Sq 3 Civic Sq Carmel, IN 46032-2584 Carmel, IN 46032-2584 317-571-2533 Alt=317-409-5866-Mike Pitman Rep Item Lookup Code,, ,, Description Quantity _; Pride Extended JA NOTE By JA on 101912 1 $0.00 $0.00 JA 30500097 40 CONT TC 26X2.1 Town&Country 4 $39.99 $159.96 Not Carried/Blackwall/Skinwall/WireBead/6 5 PSI Discount ($7.99) ($31.96) JA SO_10_3175712533_14 ZF-Rear Wheel XT/Mavic 719 1 $199.99 $199.99 QBP#WE2753 Discount ($19.99) ($19.99) JA 22000043 12 SRAM CH 3/32 PC-870 8s 1 $25.99 $25.99 Discount ($5.19) ($5.19) JA SO_10_3175712533_15 ZF-Shimano V-Brake Pad Set 10 $15.99 $159.90 QBP#BR1496 Discount ($3.19) ($31.90) JA 34200002 69 PARK POLY LUBE 4 OZ 1 $9.99 $9.99 Discount ($1.99) ($1.99) JA 34200017 69 TFLO LB AEROSAL 120Z 1 $25.99 $25.99 AEROSAL LUBE SPRAY Discount ($5.19) ($5.19) JA 99900 Thanks for Your Business!I 1 $0.00 $0.00 Lavina Kautz Thanks for choosing BGI. Sub Total $485.60 Sales Tax $0.00 Billing: 317.842.4140 x56 -7° Service: 317.579.7933 BGI Pass Through of Manf Freight Charges $26.55 Total $512.15 www.bgifitness.com infon @bgindy.com I� III VIII Illil VIII VIII VIII III IIII 341851 INDIANA RETAIL TAX EXEMPT PAGE City o Carmel CERTIFICATE NO.003120155 002 0 1i PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2554 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION Doi Fitness Carmel Police Department VENDOR Coiporation Drive SHIP 3 Civic Square TO Carmel, e Ca mel, IN Indianapolis, IN 4525 (317) CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT �y QUANTITY�j UUNIITTgOF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 4C �D.00 4 Each Continental Town & CountryTire $32.00 $128.00 1 Each HD replacement Rear Wheel $180.00 $180.00 1 Each Srarn Chairs $20.80 $20.80 t EI � 10 Each Shirnano V-Brake Pad Set '= ". i °3. $12.80 $428.00 1 Each Park Pol�,IlUbe grease f , .jkr' ,°�_ t,�� fxw.� =°'� $8.00 $8.00 1 Each TrIFlow Chain Lube - 12oa o-(:l ''.. >.... $20.80 $20.80 1 Each shipping charges � � � � $26.55 $26.55 Slab!Total- $512.15 ' �H ` _ ✓may mL.^\' ,'�R�l�< Send Invoice To: 51 Carmel Police Dcpartmor Attn: Teresa Anderson 3 Civic Square Camel, IN 460-32- PLEASE INVOICE IN DUPLICATE* DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Carmel Police Dept. Ir �� °s PAYMENT $512.15 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION•SUFFICIENT TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY •PURCHASE ORDER NUMBER MUST APPEAR ON ALL `. p,. SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE C of$�a I Police olice AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 9 5 5 0 CLERK-TREASURER DOCUMENT CONTROL NO. A.P. • COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT ALLOWED 20 IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR Board Members or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# ! 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 20 .............................................................................................................. Signature ............................................................................._......................................_-.........-. Title I Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 BGI Fitness 8828 Corporation Drive IN SUM OF $ Indianapolis, IN 46256 $512.15 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members Prior Year Eneawbered I hereby certify that the attached invoice(s), or 25506 341851 I 42-370.00 I $512.15 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 Thursday, January 03, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or 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. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/31/12 341851 bicycle accessories $512.15 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