218452 03/25/2013 u.� CITY OF CARMEL, INDIANA VENDOR: 360856 Page 1 of 1
ONE CIVIC SQUARE FITNESS FIXX SERVICE INC CHECK AMOUNT: $486.25
CARMEL, INDIANA 46032 10085 ALLISONVILLE ROAD SUITE 205
FISHERS IN 46038 CHECK NUMBER: 218452
CHECK DATE: 3/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4350000 11377 486 .25 EQUIPMENT REPAIRS & M
FITNESS FIXX CE, Invoice
10085 Allisonville Rd Suite 205 MAR 11 2013
Fishers, IN 46038 I date Invoice No.
(317) 435-3646 13yt 03/07/13 11377
Bill To:.r Ship To
Carmel Clay Parks and Recreation Monon Center
1411 E. 116th Street 1235 Central Park Drive East
Carmel, IN 46032 Carmel, IN 46032
F:O Number' Terms Due Date
_._
29459 Net 30 04/06/13
`` Description _ :Gluarrfity _ -Rate - `_ Amount
Matrix Hybrid Bike Seat Handle Spring 1 15.00 15.00
Matrix E5 Elliptical Drive Belt 1 35.00 35.00
Matrix E5 Elliptical Intermediate Drive Assembly 1 265.00 265.00
Cybex VR3 Leg Press Add on Kit(Customer Provided) 0.00 0.00
General Labor charge for 2 technician with PM discount applied 1.75 85.00 148.75
Trip Charge(Round Trip) P.M. Discount 0.5 45.00 22.50
Purchase
Description
P.O.# P
G.L.#
Budget
Lirre Descr
Purchaser Date
Approval Date
Total $486.25
'i
FITNESS F IXX Technician: j(l�(iy�--`
r UAI/fr Jf"Itf 4,f9 A'141,1 All f//NESS fOU/O!/fd7 Service Ticket# b AL-
Payment
/ Method: 3
10085 Allisonville Road,Ste 205 t� V -f L�
Fishers,IN 46038 Warranty I
P-(317)435-3646 F-(317)579-0653 To Be Billed
_Contract _Cash
W-www.fitnessfixx.net/E-service @fitnessfixx.net _Prepaid
_Check
Bill To _New Customer
_Charge
Customer C�
Conta t _
Address _ 1 L/�! w'jI Phone /�
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ouble Reported TTotalBervice<Time
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Signatures below indicate that the above work has been performer!to the customers satisfaction,that the parts listed were
replaced,and that the equipment has been left!n good worMng condition(except a_s_not Parts Total
._ _._ .____- _ _ - _ - Customers agree to pay al!
charges not covered by manufacturer or dealers warranties,All units with rented and or known Issues should Service Call Fee J -7
outoforder. Fltness Fbrx Service,Inc.nor its em !o ilures Technical Service @ _ r / l 75
p gees can be held responsible for any accidents,Injuries or failures
related to equipment or sery ices ormed. Travel hrs. S /hr
Service Technician e��`l
Date Sales Tax
Customer Approval
Data .' x, A�
3h+`.y, ;r~v.ysi•tP'r5 t/1'� ji
\White-Billing,Yellow-Customer �c._. �Totali
i I!
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
3/4/13 11377 Fitness equipment repair 29459 $ 486.25
Total $ 486.25
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$
$ 486.25
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT
1096-21 11377 4350000 $ 486.25 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
21-Mar 2013
Signature
$ 486.25 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund