220147 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
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Total` „$1;065:00
Technician: 0,,'
Service Ticket#
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Payment M thy:
10085 Allisonville Road,Ste 205 Warranty Y-To Be Billed C>
Fishers,IN 46038
-3646 F-(317)579-0653 Cash
P-(317)435 X Contract
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Signatures below)ndicate that the above work has been performed to the customer-'s satisfaction,that the palls listed were Parts Total
replaced,and that the equipment has boon left In good working
condition(except as noted). Customers agree to pay all Service Call Fee
charges not covered by manufacturer or dealer's warranties. All units with noted and or known Issues should be placed Technical-Service @$ 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
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Fishers,IN 46038 Warranty To B
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*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
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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
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