HomeMy WebLinkAbout240658 01/07/2015 ,R CITY OF CARMEL, INDIANA VENDOR: 361104
c.
® ONE CIVIC SQUARE CYBEX INTERNATIONAL INC CHECK AMOUNT: $*—...340.89*
CARMEL, INDIANA 46032 PO BOX 8500-1401 CHECK NUMBER: 240658
PHILADELPHIA PA 19178-1401 CHECK DATE: 01/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4237000 997328 340.89 REPAIR PARTS
Global Headquarters , Remit to:
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 Monori center Invoice Date: Dec/09/2014
USA Carmel IN 46032 Invoice: 0000997328
USA Customer No: CYB0037634
Payment Terms: Net 30
Bill To: Carmel Clay Parks&Recreation Due Date: Jan/08/2015
Carrie Keaveney AMOUNT DUE: 340.89 USD
1411 E. 116th St.
Carmel IN 46032 =BY:
United Statesr_ _ Shipment Information
CYW -(L �������� VISDate Shipped: Dec/09/2014
3"7W F Sales Order No: SVC0691954
J Purchase Order No: 37864
Pro No: 1Z5638020353525018
37400 Carrier: United Parcel Service, Inc,-
Ship
nc.Ship Via: GROUND
Freight Terms: Pre aid
Line Product No. Description Quantity UOM Unit Amt Tax Net Amount
1 5315SO28 Top Cable F/Cable Columns 1.00 EA 65.00 N 65.00
2 PR069400 Recess Bumper 2.00 EA 1.73 N 3.46
3 HC620430 Bolt 1/4-20X2 1/2 Bhsc 1.00 EA 0.93 N 0.93
4 HN624100 Hex Nut.250-20 1.00 EA 0.50 N 0.50
5 11180-203 P Detent Plate 1.00 EA 169.16 N 169.16
6 11180-354 Pin Detent 1.00 EA 34.02 N 34.02
7 4605-511 Insert,Plastic(5.94) 1.00 EA 5.25 N 5.25
8 4800-164 CUSHION SA BIKE SEAT 12"MOLDE 1.00 EA 47.25 N 47.25
9 OWTPRTFRT Shipping and Handling Charge 1.00 EA 15.32 N 15.32
Subtotal: 340.89
Subtotal (Sales/Use): 0.00
AMOUNT DUE: 340.89USD
Thank you. Order entered by Darin Smith
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
12/9/14 997328 Cybex parts for 11/13/14 PM visit 37864 $ 340.89
9/30/14 985537 Cybex parts xx1182 $ 202.90
.+ Total $ 543.79
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
In Sum of$
$ 340.89
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
Board Members
PO#or INVOICE NO CCT#/TITL AMOUNT
Dept#
1096-21 997328 4237000 $ 340.89 I 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
January 2, 2015
Signature
$ 340.89 Accounts Payable Coordinator
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund
