224299 09/23/2013 CITY OF CARMEL, INDIANA VENDOR: 367576 Page 1 of 1
ONE CIVIC SQUARE S I L FITNESS
0 CHECK AMOUNT: $572.40
CARMEL, INDIANA 46032 1 ALDRIN LANE
BRIELLE NJ 08730 CHECK NUMBER: 224299
CHECK DATE: 9/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 39032 572 .40 GENERAL PROGRAM SUPPL
SIL FITNESS, INC _-•,�-—;';I;nvo i c
1 ALDRiN LANE
BRIELLE,NJ 08730 2013 Date Invoice#
i
13'Y-_ 7/3/2013 39032
Bill To Ship To
CARMEL CLAY PARKS&RECREATION CARMEL CLAY PARKS&RECRREATION
DAWN KOEPPER MARY EVANS
1411 EAST 116th STREET 1235 CENTRAL PARK DRIVE EAST
CARMEL,IN 46032 CARMEL,IN 46032
Sales Order# P.O./Web # Terms Due Date Rep Via CSR Drop Ship#
29996 NET 30 8/2/2013 RC [UPS Comm... EC 22115/16
Item Code Inv Ordered Shipped Backorder Description Unit Price Amount
SR-BR16C 4-NI-DC 1 I PVC 16 BALL RACK W/CASTERS 199.95 199.95T
"GRAY COLOR"
C 9 - NI 15 15 6 LB WEIGHTED BARS 16.50 247.50T
SUBTOTAL 447.45
C1 SHIPPING& HANDLING 124.95 124.95T
YOU WILL RECEIVE TWO
SHIPMENTS,
�pul�vnerrl-
2-c F
�411-3 1 a o4a�o3
Subtotal $572.40
Sales Tax (0.0%) $0.00
Total $572.40
Phone 732-206-1200 "-ryv.silfitness.com Payments/Credits $0.00
Balance Due
THANK YOU FOR YOUR BUSINESS. $572.40
A RESTOCKING FEE OF 15%-20%WILL APPLY TO ITEMS RETURNED.
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.
S I L Fitness Terms
1 Aldrin Lane
Brielle, NJ 08730
Invoice invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO # Amount
7/3/13 39032 Fitness equipment 29996 $ 572.40
Total $ 572.40
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.
S I L Fitness Allowed 20
1 Aldrin Lane
Brielle, NJ 08730
In Sum of$
$ 572.40
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or Board Members
Dept#
INVOICE NO. ACCT#/TITL AMOUNT
1096-22 39032 4239039 $ 572.40 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
19-Sep 2013
Signature
$ 572.40 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund