226094 11/18/2013 CITY OF CARMEL, INDIANA VENDOR: 360856 Page 1 of 1
ONE CIVIC SQUARE FITNESS FIXX SERVICE INC
CARMEL, INDIANA 46032 10085 ALLISONVILLE ROAD SUITE 205 CHECK AMOUNT: $1,061.25
r ?' FISHERS IN 46038 CHECK NUMBER: 226094
CHECK DATE: 11/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4350000 12114 1, 061 . 25 EQUIPMENT REPAIRS & M
FITNESS FIXX CEIVED Invoice
,•� 10085 Allisonville Rd Suite 205
Fishers, IN 46038 OCT 21 291
(317) 435-3646 10/17/13 12114
Bill To
� _ Shi �o � `�
Carmel Clay Parks and Recreation Monon Center
1411 E. 116th Street 1235 Central Park Drive East
Carmel, IN 46032 Carmel, IN 46032
Y'.
Number Terms Due Date
36223 Net 30 11/16/13
Description Quantity Rate Amou
. ._
Pt
. . .w . ,ro _. .;
Precor AMT Timing Belt (YPR2) 1 135.00 135.00
Schwinn IC Elite Seat (#1) 1 55.00, 55.00
Schwinn IC Elite Seat Adj. Knob (#19) 1 35.00 3.5.00
Matrix E5 Lower PCB (E19) 1 310.00 310.00
Matrix E5 Console Cable 1 55.00 55.00
Labor charge for 3 technicians with PM discount applied 3.5 125.00 437.50
Trip Charge (Round Trip) P.M. Discount 0.75 45.00 33.75
3�aa 3
10G 0CD o0
Total R ` $1 061 25
Y .3
4 Technician: 1l(/Y�– . Ga D aV i
TN E +� 5 FIXX Service Ticket#OdAL/fr 6ffVlCf AAV NflUM AV AI
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.fitnessfixx.net/E-service @fitnessfixx.net —New Customer _Charge
Bill To a PC, 5
d-v+•-Q_� Ctc s�
Customer - � Contact
Phone
3/ 5Z3- 5 2
Address C it
i2-S5 1 i�A�IL Ot y�._ ����+ - tate� Zip C)7J Z
Manufacturer/Model Serial#
J•�a��S
Service Call#1
Service Call#2 1 t A6
Service Required/Trouble Reported
Actual Failure&Service Performed
r �C cd f�7� ' PO— Z -. like b',')�--- Aw. >r
�c.hw�-h. T'� �i�� � i — ° •'�-zt ��t 3 cG.t,.���.,_ C_ _ ���l`=t —
L a k 9 c--, c� � d!-C er Q�..I S a- a6
155� S HS
LO
4 LO.
Irk w i;.
wLw Z
53 4 ct
IV- 4,t>
Signatures below indicate that the above work has been performed to the customer's satisfaction,that the parts listed were Parts Total e
replaced,and that the equipment has been left In good working condition(except as noted). Customers agree to pay all Service Call Fee ^']
charges not covered by manufacturer or dealer's warranties.All units with noted and or known Issues should be placed Technical Service �r Z r a /-1y v
out-of-order. Fitness Fixx Service,Inc.nor its employees can be hold to ponsible for any accidents,injuries or failures Travel s rs.. $_I(Slhr J r ` 5-
related to equipment or service rf m� /! 6 j Sales Tax
Service Technician / Date V
c
Custom
rApprov ai Date t(/
White-Billing,Yellow-Customer
MW
$ Technician:
FI T'h1 S5 g 1 X X Service Ticket/PO#:
OUA!/fY SFd1YlCf,AA•O NEPA/,9fD9'f/INgFfJ':fBU/P.aVfi7.
Payment Method: .
10085 Allisonville Road,Suite 205 _Warranty X To Be Billed
Fishers,IN 46038 Contract _Cash
P-(317)435-3646 F-(317)579-0653 Prepaid _Check
W-www.fitnessfixx.com 1 E-service @fitnessfixx.net —New Customer _Charge
Bill To: Email:
r W-e,` CL, 1�c�v1C.s R Q-C.•
Customer: Contact: Phone:
a--1-�-�' G�,,,r-- 1'_v� w� (3► 5?3- SZ
Address: City: State: Zip:
'5/ti M Xt S�)NA- -9 05 a �- � l� �vv\
V►'�c� 1C nI SZ— W iti.C 1L 3 F- r c.S
qW v avi cis
1 S t+V-,7>to
-k 3zt1Z5 t v6 S e--wir0-
a
CAL j2
'Signatures below Indicate that the above work has been performed to the customer's satisfaction,
that the pails listed were replaced,and that the equipment has been left in good working condition
(except as noted).Customers agrees to pay a rarges not covered by manufacturer or dealer's
warranties.
Service Technician: Date: (�
Customer Approv al: „�-''� Date:
—]v/ r
White-Billing,Yellow-Cus omen
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
10/174 12114 Fitness equipment repairs 36223 $ 1,061.25
Total $ 1,061.25
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$
$ 1,061.25
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-21 12114 4350000 $ 1,061.25 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
14-Nov 2013
$ 1,061.25 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund