218037 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 360856 Page 1 of 1
ONE CIVIC SQUARE FITNESS FIXX SERVICE INC CHECK AMOUNT: $642.50
•s,�,eo CARMEL, INDIANA 46032 10085 ALLISONVILLE ROAD SUITE 205
FISHERS IN 46038 CHECK NUMBER: 218037
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4350000 11309 96 . 25 EQUIPMENT REPAIRS & M
1096 4350000 11314 546 . 25 EQUIPMENT REPAIRS & M
ti
FITNESS FIXX Invoice
10085 Allisonville Rd Suite 205
Fishers, IN 46038 FEB 2 1 2013 Date Invoice No
(317) 435-3646 02/19/13 11309
Shi::. To
.p s
Carmel Clay Parks and Recreation Monon Center
1411 E. 116th Street 1235 Central Park Drive East
Carmel, IN 46032 Carmel, IN 46032
R-0 Number Terms Due Date
218133JM Net 30 03/21/13
Description = Quanfity :Rate - Amount
Concept II Pedal Strap 1 10.00 10.00
General Labor charge for 2 technician with PM discount applied 0.75 85.00 63.75
Trip Charge (Round Trip) P.M. Discount 0.5 45.00 22.50
Purchase
Description
lqo'A�
P.Q.# � P o
G.L.#
Budget 0�
Line Des
Purchaser Date
Approval Date
Total $96,2151
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Technician: G v\
F I T N E S S F I X X Service Ticket/PO#:
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Payment Method:
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.fiitnessfxx.com/E-service @ftnessfxx.net _New Customer Charge
Bill To:
CGV-14A e l C l c l c,r k-, tr Eec- Email:
Customer: //'' �� Contact: -7
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Manufacturer/Model: Serial#:
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Service Call#1 `Z -% 13
Service Call#2 ' 1 5 c Y j, r
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Actual Failure&Service Performed: 1. v` ' �� f r
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:, PartfDescn t�on ;_ r �r s' '� ItemlPnce. , otal
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Signatures below indicate that the above work has been performed to the customers satisfaction, Parts Total r
that the parts listed were replaced,and that the equipment has been left in good woiking condition Z --r- SService Call Fee
(except as noted).Customers agrees to pay all charges not covered by manufacturer or dealer's Technical Service
warranties. Travel r�j hrs. $ TJ/hr Z �✓ p
Service Technician:
Date: Sales Tax
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Customer ApDrova
Date: * `y7Total
White-Billing, Yellaiv-C tourer
FITNFSS FIXX CEI-� � Invoice
IK 10085 Allisonville Rd Suite.205
Fishers, IN 46038 FEB 2 12013 Date Invoice No
(317) 435-3646 02/19/13 11314
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
29396 Net 30 03/21/13
Descnptton Quantljr Rate Amount
Matrix MX-e5x Wheel 2 65.00 130.00
Matrix MX-e5x Pedal Arm 1 190.00 190.00
Matrix MX-e5x Hardware Kit 1 20.00 20.00
Life Fitness 95Te End Cap 1 10.00 10.00
Matrix Hybrid Seat Adjustment Kit 1 35.00 35.00
General Labor charge for 2 technician with PM discount applied 1.5 85.00 127.50
Trip Charge(Round Trip) P.M. Discount 0.75 45.00 33.75
Purchase l
Description S �� _
P.O.# .2q;q� P .rF
G.L.# p � �0 _�C7
Budget
Line Descr
Purchaser Date
Approval Date
Total
Technician: 7S.L, 1-e �T
YFITNESS F I Y Y Service Ticket]PO#:
7UA!/fr SffYl f 4h'O AfPA/R MR f/fh'fSS f00/PA'Mf Payment Method:
085 Allisonville Road,Ste 205 _Warranty AoTo 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: Email:
Customer: 1eL
n ox,Ci Contact: I h, Phone:/3 17 / ,6 73 -_ 5 Zt '\ (� (. 5 r1 \ —1
Address: Z35 ��_1� I ��✓ 'ty�( L C State=I� Zip:
,bo 3 2
Manufacturer/Model: Serial#:
Time
Service Call#1 / Z y 1-- ' �
Service Call#2
TotafSerGicezTime
Service Required/Trouble Reported: i t r
�' X I t C I :° d S [d I bn K _�
,�� � 5 se �-� �,d ' Us-�� � V\ �55e�6 if
Actual Failure&Service Performed:
tj ed WI 55 e-M 4, V\t
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aka\ SSt.3 , 'f..��cr.. .,1` .:..,.�#`riL LR4srr��.,. 4t' H�� .,:� �� ,,�,r"f� rt.
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Quantit, Fart;# a u e y s M,e Part Descn tion t_,
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Signatures below indicate that the above work has been performed to the customer's satisfaction, Parts Total 3 S U
v
that the parts listed were replaced,and that the equipment has been left in good working condition Service Call Fee -t
(except as noted).Customers agreys to pay all charges not covered by manufacturer or dealer's Technical Service @$P! '/hr Z f• 5 b
warranties. //d' j Travel . 5hrs. $ 6/hr '3 2 J -7
Service Technician: "� �� Date: I ' I Sales Tax
Customer Approval: Date: � ' r ":§T.ta1'&
0 (� S l f O White-Billing,Yellow-Customer (�
baccc G"^ iv-. )Kcd 15p. E,-P7� 1 -7 V 9 secc1n ol c,t-
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fir l be reptjcd to resd ve
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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
2/19/13 11309 Repair Cybex Legpress 29459 $ 96.25
2/19/13 11314 Fitness equipment repair 29396 $ 546.25
Total $ 642.50
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
Voucher No. Warrant No.
360856 Fitness Fixx Services, Inc. Allowed 20
10085 Allisonville Rd, Suite 205
Fishers, IN 46038
In Sum of$
$ 642.50
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-21 11309 4350000 $ 96.25 1 hereby certify that the attached invoice(s), or
1096-21 11314 4350000 $ 546.25 bifl(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
7-Mar 2013
r yIl�
Signature
$ 642.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund