224049 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 367559 Page 1 of 1
ONE CIVIC SQUARE NATIONAL GYM SUPPLY CHECK AMOUNT: $1,590.24
CARMEL, INDIANA 46032 5500 WEST'83RD STREET
LOS ANGELES CA 90045 CHECK NUMBER: 224049
CHECK DATE: 9/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4237000 SI853678 1, 590 . 24 REPAIR PARTS
5500 West 83rd Struot I,-
I os An olos, CA 9004 AU G- SALES INVOICE
-22 2013
1.800-496-7278((JSA R Canada)
310-410.4200(,WoTldwide) SI-853678 8/21/2013
310-410-4720(Fax)
www.,"nlpart.com 11111 I I I H��111111111 IN
Customer Contact Ship To
Carmel C-lay Parks & rec [Carmel Clay Parks & Rec
1411 E 116th Street I Kurtis Baum Gartner
CARMEL IN 46032 12�5 Central Park Dr. Fast
UNITED STATES C! I
IN 4603-)
Tel: (317) 571-4136, (317; 571-4136 ; UNITED STATES
Fax: (317) 571-4136
Account Terms Due Date I Account Rep Schedule Date
42978 I NET 30 9/20/2013 Pick Cortez I 8/21/2013
Sales Order PO 4 Reference Ship VIA I Page Printed
SO-756011 36097 i Dawn UPS Ground Ser. . . I 8/21/2013
7:03:33PM
Order Ship LItem (Description Price UM Discount Amount
I�SP012 !Pedals,Durapedal Cage/SPD (9/16"/Pair) 301 30 $52.00 EA
11,560.0011
2 ISP012: Used on Models: All Spinner
Bikes with 9/16" i.1- shalt.
inst a llat,on: Left Pedal Counter
!clockwise, Right Pedal Clockwise
-120 Day Warranty from daze of
io-iainal TrVCice
31SH, Shippiny Charge
530.2364 EA $30.241
41 ISH: Additional shippinc chance will
apply for Back Orders and/or Droo
Ship pats will apply.
SS
r7 7
Tax Details �—Taxable--- so.001
EXEMPT $0.000
Payment Details
iTotal Tax $0.001
(Exempt $1,590.24!
�Total $1,590.241
iPayment Disc $0.00�
Paid i $0.00
(Balance i $1,590.24,1
E...slS Document Format®1999 Everest Soft—re,Inc All Rights Res...d www—restsoftwaremc com 800-382-0725
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.
National Gym Supply Terms
5500 West 83rd Street
Los Angeles, CA 90045
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO # Amount
8/21/13 S1853678 Fitness equipment repairs
36097 $ 1,590.24
Total $ 1,590.24
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
120—
Clerk-Treasurer
Voucher No. Warrant No.
National Gym Supply Allowed 20
5500 West 83rd Street
Los Angeles, CA 90045
In Sum of$
$ 1,590.24
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or Board Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
1096-60 S1853678 4237000 $ 1,590.24 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
5-Sep 2013
Signature
$ 1,590.24 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund