217967 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 026625 Page 1 of 1
` ONE CIVIC SQUARE BOB BLOCK FITNESS EQUIP CHECK AMOUNT: $105.00
CARMEL, INDIANA 46032 8128 CASTLEWAY COURT WEST
INDIANAPOLIS IN 46250
.o. CHECK NUMBER: 217967
CHECK DATE: 3113/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350000 83442—IN 105 . 00 EQUIPMENT REPAIRS & M
ffa& INVOICE
Fitness Equipment INVOICE NUMBER 0083442-IN
INVOICE DATE 02/25/2013
8128 Castleway Court blest SALESPERSON BEN ASBURY
hzdianapolis, IN 46250 CUSTOMER NUMBER 01-CAR04
(317)845-7700
Fax: (317)845-7704
www.bobbl ockfuness.com
SOLD TO: CARMEL POLICE DEPARTMENT SHIP TO: CARMEL POLICE DEPARTMENT
3 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
CONFIRM TO: TERESA ANDERSON/BILL HAYMAKER
P.O.NUMBER PAID BY: CHECK# REFERENCE TERMS
DUE ON RECEIPT
ITEM DESCRIPTION ORDERED SHIPPED B/0 UNIT PRICE TOTAL
SERVICE CALL ON 2/25/13 BY BEN ASBURY
TRUE 700 SN:03-61299H
NEED TO REPLACE REAR ROLLER-BROKEN
REPLACED BELT-TORN
/LABOR SERVICE LABOR 80.00
/TRIP SERVICE TRIP CHARGE 25.00
THANK YOU FOR THE OPPORTUNITY TO BE OFSER VICE Net Invoice: 105.00
Freight: 0.00
Sales Tax: 0.00
105.00
Less Deposit: 0.00
105.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bob Block Fitness Equipment
IN SUM OF $
8128 Castleway Court West
Indianapolis, IN 46250
$105.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 83442-IN I 43-500.00 I $105.00 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
Thursday, March 07, 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))
02/25/13 83442-IN service call for treadmill $105.00
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