HomeMy WebLinkAbout237361 9 /23/2014 r Cqq
*F CITY OF CARMEL, INDIANA VENDOR: 361104
® it ONE CIVIC SQUARE CYBEX INTERNATIONAL INC CHECK AMOUNT: $*****1,385.89*
f,, _� CARMEL, INDIANA 46032 PO BOX 8500-1401 CHECK NUMBER: 237361
'''�roN�.� PHILADELPHIA PA 19178-1401 CHECK DATE: 09/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4237000 980467 1,385.89 REPAIR PARTS
__EYHE Global Headquarters Remit Y INVOICE
: I
10 Trotter Drive C bex International, Inc. IV v
Medway, MA 02053 P.O. Box 8500-1401
Cybex International, Inc. (508)533-4300 Philadelphia, PA 19178-1401
(508)533-5500 fax United States Page 1 of 1
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 Moron center Invoice Date: Sep/02/2014
USA Carmel IN 46032 Invoice: 0000980467
USA Customer No: CYB0037634
Payment Terms: Net 30
Bill To: Carmel Clay Parks&Recreation Due Date: Oct/02/2014
Carrie Keaveney ---- AMOUNT DUE: 1,385.89 USD
1411 E. 116th St. � �Y i ^
Carmel IN 46032
United States SEP - 8 2014
Shipment Information
Date Shipped: Sep/02/2014
Sales Order No: SVC0681824
�1 C Purchase Order No: 37550
Pro No: 1Z5638020353080267
Carrier: United Parcel Service, Inc.
.4'n,?j�0co Ship Via: GROUND
Freight Terms: Prepaid
Line Product No. Description Quantity UOM Unit Amt Tax Net Amount
1 630AK046 Kit Lift Motor Replacement 1.00 EA 315.00 N 315.00
2 AD-20827 PCA,750A LOWER CONTROLLER 1.00 EA 492.21 N 492.21
3 EC-18267 BATTERY 12V 7AHR 1.00 EA 46.91 N 46.91
4 PR069400 Recess Bumper 2.00 EA 1.73 N 3.46
5 5649-002 Cable S A 1.00 EA 65.00 N 65.00
6 GB000202 Belt,.95 Wide 10.00 FT 6.72 N 67.20
7 11040K010 Kit Top Weight Hardware 1.00 EA 80.16 N 80.16
8 12190-203 P CAM 1.00 EA 242.45 N 242.45
9 4505-329 Detent Pin 1.00 EA 12.60 N 12.60
10 OWTPRTFRT Shipping and Handling Charge 1.00 EA 60.90 N 60.90
Subtotal: 1,385.89
Subtotal (Sales/Use): 0.00
AMOUNT DUE: 1,385.89USD
Order entered by Tom Beksha
FEP14
i'
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
9/2/14 980467 Cybex parts 37550 $ 1,385.89
Total $ 1,385.89
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$
$ 1,385.89
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or Board Members
Dept#
INVOICE NO CCT#/TITL AMOUNT
1096-21 980467 4237000 $ 1,385.89 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
18-Sep 2014
Signature
$ 1,385.89 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund