HomeMy WebLinkAbout232486 05/13/14 1 d_C,gb
�f. CITY OF CARMEL, INDIANA VENDOR: 361104
5' ONE CIVIC SQUARE CYBEX INTERNATIONAL INC CHECK AMOUNT: $********59.96*
:q ;_� CARMEL, INDIANA 46032 PO BOX 8500-1401 CHECK NUMBER: 232486
q,/(t�N"G�, PHILADELPHIA PA 19178-1401 CHECK DATE: 05/13/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4237000 957275 59.96 REPAIR PARTS
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CYBEX® Global Headquarters Remit to:
10 Trotter Drive Cybex International, Inc. INVOICE
Cybex International, Inc. Medway,MA 02053 P.O.Box 8500-1401
(508)533-4300 Philadelphia,PA 19178-1401 Page 1 of 1
(508)533-5500 fax United States
Sold To: Carmel Clay Parks&Recreation Ship To: Carmel Clay Parks&Recreation
1411 E. 116th St. 1235 Central Park Dr.E. Invoice Information
Carmel IN 46032 Monon center Invoice Date: Apr/17/2014
USA Carmel IN 46032 Invoice: 0000957275
USA Customer No: CYB0037634
Payment Terms: Net 30
BIII To: Carmel Clay Parks&Recreation :244-'201,41;
;r 4Due Date: May/17/2014
Carrie Keaveney AMOUNT DUE: 59.96 USD
1411 E. 116th St. APCarmel IN 46032
United StatesBY'-- Shipment Information
���,�� h o n,,•, � Date Shipped: Apr/17/2014
Sales Order No: SVC0666759
��/ ✓� Purchase Order No: XX-433
Pro No: 1Z5638020354554897
_- - -�j-Ug6<31 rt�:2-Q(D-00 _ Carrier: United Parcel Service, Inc.
Ship Via: -GROUND`----
Freight
ROUND--Freight Terms: Prepaid
Line Product No. Description Quantity UOM Unit Amt Tax Net Amount
1 11070-205 W Handle 1.00 EA 26.25 N 26.25
2 4535-330 Tube,Pivot Handle 1.00 EA 6.36 N 6.36
3 4535-327 Pin,Pivot-Long 1.00 EA 4.84 N 4.84
4 FB130205 Flange Bearing.62 X.75.381-g 4.00 EA 2.63 N 10.52
5 HP286716 Pin Groove.188 x.750 1.00 EA 1.60 N 1.60
6 JS407100 E-Spacers, .625 Bushing 1.00 EA 0.53 N 0.53
7 BR030214 Retaining Ring(.625) 1.00 EA 0.26 N 0.26
8 HC700417 Bhscs 2.00 EA 1.05 N 2.10
9 OWTPRTFRT Shipping and Handling Charge 1.00 EA 7.50 N 7.50
Subtotal: 59.96
Subtotal (Sales/Use): 0.00
AMOUNT DUE: 59.96USD
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.
361104 Cybex International, Inc. Terms
P.O. Box 8500-1401
Philiadelphia, PA 19178-1401
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
4/17/14 957275 Fitness repair xx433 $ 59.96
Total $ 59.96
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.
361104 Cybex International, Inc. Allowed 20
P.O. Box 8500-1401
Philiadelphia, PA 19178-1401
j In Sum of$
$ 59.96
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO CCT#/TITL AMOUNT Board Members
Deptept#
121' 957275 4237000 $ 59.96 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
it
i
8-May 2014
Signature
$ 59.96 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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