HomeMy WebLinkAbout219661 05/07/2013 CITY OF CARMEL, INDIANA VENDOR: 026625 Page 1 of 1
ONE CIVIC SQUARE BOB BLOCK FITNESS EQUIP
s� CARMEL, INDIANA 46032 8128 CASTLEWAY COURT WEST CHECK AMOUNT: $105.00
INDIANAPOLIS IN 46250 CHECK NUMBER: 219661
CHECK DATE: 5/7/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350000 83861 105 . 00 EQUIPMENT REPAIRS & M
INVOICE
CRV-7e-9-9 INVOICE NUMBER 0083861-IN
INVOICE DATE 04/23/2013
8128 Castleway Court West SALESPERSON DON VIVIRITO
Indianapolis,IN 46250 CUSTOMER NUMBER 01-CAR04
(317)845-7700
Fax: (317)845-7704
www.bobblockfitness.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
I,
P.C.NUMBER PAID BY: CHECK#,' REFEREI ICE TERMS
DUE ON RECEIPT
ITEM DESCRIPTION ORDERED SHIPPED B/O UNIT PRICE TOTAL
TRUE CSD.0 S/N: 08LC-0476L PED S/N: 09-5T01633C
UNIT NEEDS A NEW CENTER POD KEYPAD, STUCK
GRADE PLUS ERROR& START BUTTON WORKS
INTERMITTENTLY.
/LABOR SERVICE LABOR 80.00
/TRIP SERVICE TRIP CHARGE 25.00
I
THANK YOU FOR THE OPPORTUNITY TO BE OF SERVICE Net Invoice: 105.00
Freight: 0.00
Sales Tax: 0.00
105.00
Less Deposit: 0.00
105.00
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))
04/23/13 83861 repairs to 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
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 83861 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
Wednesday, May 01,2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund