HomeMy WebLinkAbout235080 07/22/14 �G�q
Jai/` "'. CITY OF CARMEL, INDIANA VENDOR: 361104
ONE CIVIC SQUARE CYBEX INTERNATIONAL INC CHECK AMOUNT: $*******381.79*
=a CARMEL, INDIANA 46032 PO BOX 8500-1401 CHECK NUMBER: 235080
.;y��roN,� PHILADELPHIA PA 1 91 78-1 401 CHECK DATE: 07/22/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4350000 969256 381.79 EQUIPMENT REPAIRS & M
Global Headquarters Remit to:
C 10 Trotter Drive Cybex International,Inc. INVOICE
Medway,MA 02053 P.O.Box 8500-1401
Cybex International, Inc. (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: Jun/25/2014
USA Carmel IN 46032 Invoice: 0000969256
USA Customer No: CYB0037634
Payment Terms: Net 30
BIII To: Carmel Clay Parks&Recreation Due Date: Jul/25/2014
Carrie Keaveney AMOUNT DUE: 381.79 USD
1411 E. 116th St.
Carmel lN46032 ��' i��,.;NIT r,,g
United States
JUN 3 0 2014 Shipment Information
Date Shipped: Jun/25/2014
� - ._� Sales Order No: SVC0672954
Purchase Order No: 37157
Pro No: 125638020354102017
Ship Via: GROUND
Freight Terms: Prepaid
Line Product No. Description Quantity UOM Unit Amt Tax Net Amount
1 5345-003 Lever Assembly 1.00 EA 381.79 N 381.79
Subtotal: 381.79
Subtotal (Sales/Use): 0.00
AMOUNT DUE: 381.79USD
Order entered by Tom Beksha
yc�I bc, 21-42�6 (DO oC-D
e Shauna
Buyer accepts and agrees to prices, specifications,standard terms&conditions of sale, including
warranty terms on this document,together with all the attachments hereto.
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
6/25/14 969256 Replacement parts 37157 $ 381.79
Total $ 381.79
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.
361104 Cybex International, Inc. ;Allowed 20
P.O. Box 8500-1401 `
Philiadelphia, PA 19178-1401
In Sum of$
$ 381.79
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or I Board Members
Dept# INVOICE NO kCCT#rr[TLI AMOUNT
1096-21 969256 4350000 $ 381.79 '{ 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
f which charge is made were ordered and
received except
I
i
16-Jul 2014
Signature
$ 381.79 Accounts Payable Coordinator
Cost distribution ledger classification if I Title
claim paid motor vehicle highway fund
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