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HomeMy WebLinkAbout220147 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 360856 Page 1 of 1 i ONE CIVIC SQUARE FITNESS FIXX SERVICE INC CHECK AMOUNT: $1,065.00 CARMEL, INDIANA 46032 10085 ALLISONVILLE ROAD SUITE 205 FISHERS IN 46038 CHECK NUMBER: 220147 CHECK DATE: 5/21/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4350000 11607 1, 065 . 00 EQUIPMENT REPAIRS & M I FITNESS FIXX CE, k ED Invoice 10085 Allisonville Rd Suite 205 MAY 0 6 2913 Fishers, IN 46038 :Date', Invoice. o. (317) 435-3646 13y 05/02/13 11607 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 30686 I Net 30 L 06/01/13 Description ;. .,, Quantity. ..: °Rate Amount . Preventative Maintenance on Fitness Room 1 1,065.00 1,065.00 urcha t: l,ti cn p 00 GA.L. 1,zdget Line Descr Purchaser Date Approval Date Total` „$1;065:00 Technician: 0,,' Service Ticket# FITNESS FIX i A i 1/1"'Xfl?Ovl-'f AOR L4 Payment M thy: 10085 Allisonville Road,Ste 205 Warranty Y-To Be Billed C> Fishers,IN 46038 -3646 F-(317)579-0653 Cash P-(317)435 X Contract W-www.fitnessfixx.net/E-service @fitnessfixx.net _Prepaid Check —New Customer Charge Bill To Customer �O;tict Phone Address C' State 771-7) -7 Yo Ca—�-i;' ( �'-k�-�Y. - zip L46(j3 2- Manufacturer/Model L"- Serial it g' MOM if"'T 1.0 M-A Service Call#i Service Call#2 m1w gx i IMM§' "I,MOOR Service Required Trouble Reported Actual Failure&Service Performed p Cl- 9-2 Uj V-9 V C re 19 C C' P C 6 v MM Signatures below)ndicate that the above work has been performed to the customer-'s satisfaction,that the palls listed were Parts Total replaced,and that the equipment has boon left In good working condition(except as noted). Customers agree to pay all Service Call Fee charges not covered by manufacturer or dealer's warranties. All units with noted and or known Issues should be placed Technical-Service @$ thr out-of-order, Fitness Fixx Service,Inc.nor its employees can behold responsible for any accidents,Injuries or failures Travel hrs.@$ /hr related to equipment or 7services 7to—od 1* Sales Tax Service Technician 4e -36 Date Customer Appro Date 3 C>- White-Sitting,yellow-Customer MMIN IN O MW Technician: ����_ P �_ Service Ticket/PO#- Payment-Metho 10085 Allisonville Road,Suite 205 P. Fishers,IN 46038 Warranty To B P-(317)435-3646 F-(317)579-0653 _Cash Billed W-www.fitnessfixx.com E Contract service@fitnessfjxx.net Prepaid —Check T P Technician: a C Paymen m n eiC a n W Co n e 'h 0 'ant Contract 4— 6 (0 T_ '0 0 B Cash a Billed Prepaid Check Bill To: Now Customer Charge Charge Customer: 'Pe-,YLS Email: Co—ntact '— I--------------- Phone: hone: r Address: City: ___ ——7(117� 2LL) > �.3 C,/ S late Lip.. 32, 525w1' Pal JG7A AA A -Z a v'7 E 7 kkrSi A� El -7 Ji tf-e-1-7 Kil,szg_,a c-,- ?5T-e— Gy V- -T— o2 *Signatures below Indicate that the above work has been performed to the customer's satisfaction, that the parts listed were replaced,and that the equipment has been left In good working condition (except as noted).Customers agrees to pay all charges not covered by manufacturer or dealer's warranties. Service Technician: C I Date: Customer Approi� Date: white-Billing,Yellow-Customer 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 5/2/13 11607 Quarterly PM for Fitness Equipment 30686 $ 1,065.00 Total $ 1,065.00 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. 360856 Fitness Fixx Services, Inc. Allowed 20 10085 Allisonville Rd, Suite 205 Fishers, IN 46038 In Sum of$ $ 1,065.00 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center Po#or Board Members INVOICE NO. ACCT#/TITLE AMOUNT Dept# 1096-21 11607 4350000 $ 1,065.00 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 16-May 2013 Signature $ 1,065.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund