224414 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 362614 Page 1 of 1
ONE CIVIC SQUARE BGI FITNESS
(€ CHECK AMOUNT: $63.90
CARMEL, INDIANA 46032 4340 EAST 82ND ST
INDIANAPOLIS IN 46250 CHECK NUMBER: 224414
CHECK DATE: 9/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 379653 63 . 90 AUTO REPAIR & MAINTEN
BGI Fitness
Work Order#: 106078
BGI Fitness
4340 East 82nd Street
Indianapolis, IN 46250 INVOICE#: 379653
Billing Issues: Contact Lavina Kautz Account#: 000100024799
Voice=317-579-7920 x570 Page: 1 of 1
Fax=317-577-0264 Date: 9/10/2013
Time: 1:03:23 PM
Cashier: LK
Register#: 1012
Reference: COM/PO#Mike Pitman
Comment: PO#Mike Pitman
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.. .:<..;Descriptiori :.s_ .QuantifY.. :...:..::..::`:iPrice;,,,...:<... xtended
JA NOTE By JA on 082813 1 $0.0,
0.00 $0.00
JA 30600050 40 IMPT TU S 26 X 2.0-2.4 10 $7.99 $79.90
Discount ($1.60) ($16.00)
LK 99900 Thanks for Your Business!! 1 $0.00 $0.00
Lavina Kautz
I
Thanks for choosing BGI. Sub Total $63.90
Billing: 317.842.4140 x570 Sales Tax $0.00
Service: .842.4 40 x5 BGI Pass Through of Manf Freight Charges $0.00
www.bgiftness.com Total $63.90
infon @bgindy.com
111111 IIIII II11111111 III11 IIIII IIII 1111
379653
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))
09/10/13 379653 bicycle repair parts $63.90
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.
ALLOWED 20
BGI Fitness
4340 East 42nd Street
IN SUM OF $
Indianapolis, IN 46250
$63.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1110 I 379653 I 43-510.00 I $63.90 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
Thursday, September 19, 2013
1
- Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund