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Home My WebLink About221898 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 362614 Page 1 of 1 F ONE CIVIC SQUARE BGI FITNESS CHECK AMOUNT: $328.94 CARMEL, INDIANA 46032 4340 EAST 82ND ST INDIANAPOLIS IN 46250 CHECK NUMBER: 221898 CHECK DATE: 7/17/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4230100 25344 365039 328 . 94 NO PARKING SIGNS BGI Fitness Work Order#: 102960 BGI Fitness 4340 East 82nd Street Indianapolis, IN 46250 INVOICE#: 365039 Billing Issues: Contact Lavina Kautz Account#: 000100024799 Voice=317-579-7920 x570 Page: 1 of 1 Fax=317-577-0264 Date: 6/28/2013 Time: 10:37:31 AM Cashier: LK Register#: 1012 Reference: COM/PO#25343 Comment: PO#25343 Bill To: Carmel Police Department Ship To: Carmel Police Department Carmel Police Department Carmel Police Department 3 Civic Sq 3 Civic Sq Carmel, IN 46032-2584 Carmel, IN 46032-2584 317-571-2533 Alt=317-409-5866-Mike Pitman Rep Item Lookup'Code' Description Quantity Price Extended JA NOTE By JA on 061913 1 $0.00 $0.00 JA 15100018 79 SARI RK SARIS BONES 2 2 $139.99 $279.98 2 BIKES NO ASSEMBLY ADJUSTABLE Discount ($28.00) ($56.00) JA 30500097 40 CONT TC 26X2.1 Town&Country 2 $39.99 $79.98 Blackwall/Skinwall/WireBead/65 PSI Discount ($7.99) ($15.98) JA 30600050 40 IMPT TU S 26 X 2.0-2.4 4 $7.99 $31.96 Discount ($1.60) ($6.40) LK 99900 Thanks for Your Business!! 1 $0.00 $0.00 Lavina Kautz Thanks for choosing BGI. Sub Total $313.54 Billing: 317.842.4140 x570 Sales Tax $0.00 Service: 317.579.7933 BGI Pass Through of Manf Freight Charges $15.40 www.bgifitness.com Total $328.94 infon @bgindy.com 365039 INDIANA RETAIL TAX EXEMPT PAGE City o Carmel CERTIFICATE NO.003120155 002 0 li PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 f*� __ ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, h SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION fidd'�B9rtA� BGl Fitness Camel Police Department VENDO SHIP Corporation DriVe TO 3 Civic Square Camel, IN 4 InAia%ngwnllo 11\1 e6�_�.KA P2471974-q—A'90 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-390.99 2 Each Saris Bones 2 Rack $111.99 $223.93 I Each shipping charges $15.40 $25.40 Sub Total: ` $239.38 i p : OD Jq 141 "°°ter___, °� a ••... .•°'gym � '�` t; Send Invoice To: Camel Police Department Attn: Teresa Andemon 3 Civic Square � n PLEASE INVOICE IN DUPLICATE `1 DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Cannel Police Dept..; PAYMENT � • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNE2SS • PRO. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS •;.ti HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION.SUFFICIENT i TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY t�•,...d � SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. •�^�!, �ITr�I �� _•�� DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. _--.----._-..�WARRANT NO------------- ALLOWED 20 IN THE SUM OF$- ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I 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. -- -- — - --- - - - -------- 20 _........................._._..-...............-_.................--.....................---............................................. Signature ...................................................................................................... .............._......_._....._. Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. BGI Fitness ALLOWED 20 882-8- IN SUM OF $ .`-(3Yo C Jz"- Indianapolis, IN 46255G LIL;2-5o $328.94 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 25344 I 365039 I 42-390.99 I $328.94 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, July 10, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 06/28/13 365039 bicycle equipment $328.94 I 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