221980 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 360856 Page 1 of 1
f ONE CIVIC SQUARE FITNESS FIXX SERVICE INC
L CHECK AMOUNT: $1,298.75
,..�..� CARMEL, INDIANA 46032 10085 ALLISONVILLE ROAD SUITE 205
FISHERS IN 46038 CHECK NUMBER: 221980
CHECK DATE: 7/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4350000 11799 1, 298 . 75 EQUIPMENT REPAIRS & M
FITNESS FIXX Invoice
10085 Alisonville Rd Suite 205RECEIN
oc
Fishers, IN 46038
(317) 435-3646 JUN 27 2013 06/25/13 11799
OV Q-'
:Bill 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 Due Date
29926 Net 30 07/25T1-3
t'o
it
yDeson pant Rate
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moun
_
Matrix E5X Console 1 275.00 275.00
Matrix E5X Generator 1 275.00 275.00
Matrix E5X Console Cable 1 50.00 50.00
Matrix E5X Load Resistor 1 70.00 70.00
Matrix Hybrid Back Pad 1 135.00 135.00
Matrix Hybrid Back Pad Cover 1 35.00 35.00
General Labor charge for 2 technician with PM discount applied 5 85.00 425.00
Trip Charge(Round Trip) P.M. Discount 0.75 45.00 33.75
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FITNESS Service Ticket# 2_L
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Payment Method:
10085 Allisonville Road,Ste 205 Warranty ( To Be Billed
Fishers,IN 46038 Contract _Cash
P-(317)435-3646 F-(317)579-0653 _Prepaid _Check
W-www,fitnessfiixx.net/E-service @fitnessfixx net _New Customer _Charge
Bill To cc�"ftvel ckq PC"rk'-6
Customer Contact Phone
Address Ci State Zip
Manufacturer/Model. Serial#
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Service Call#2 �Z •e{�j
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Signatures below indicate that the above work has been performed to the customer's satisfaction,that the parts listed were Parts Total
replaced,and that the equipment has been left in good working condition(except as noted). Customers agree to pay all Service Call Fee
[g or9
charges not covered by manufacturer or dealer's warranties.All units with noted and or known issues should be placed Technical Service $85—, y zs
out-of-order. Fitness Fixx Service,Inc.nor its employees can be held responsible for any accidents,injuries or failures Travel / rs. $—{6/hr , /
related to equipment o�,r i�^/►pe rmme�,dd Sales Tax
Service Technician�C 1--""' Date 6 -�
CustomerApprov Date r��J �9` , '7�5
White-Billing,Yellow-Customer
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1 1:1 1�1, .I Service Tick t/zPO#:
Payment Method:
10085 Ailisonville Road,Suite 205
Fishers,IN 46038 Warranty e_<To Be Billed
P-(317)435-3646 F-(317)579-0653 _Contract —Cash
W-www.fitnessfixx.com/E-service @fitnessfxx.net _Prepaid _Check—
New Customer _Charge
Bill To:
Email:
Customer: Contact: Phone:
(3� 7) 5 Eq
Address: city: State:
Zip:
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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 Technics ��I/, Date:
Customer Approval: Date:
-29
7VWhite-Billing,Yellow•Customer
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
6/25/13 11799 Fitness equipment repair 29926 $ 1,298.75
Total $ 1,298.75
F•
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
Voucher No. Warrant No.
360856 Fitness Fixx Services, Inc. Allowed 20
10085 Allisonville Rd, Suite 205
Fishers, IN 46038
In Sum of$
$ 1,298.75
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-21 11799 4350000 $ 1,298.75 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
10-Jul 2013
$ 1,298.75 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund