246758 06/30/15 CITY OF CARMEL, INDIANA VENDOR: 361104
(9,
ONE CIVIC SQUARE CYBER INTERNATQNAL INCCHECK AMOUNT: $*******370.88*
CARMEL, INDIANA 46032 P0130Xl*GQ-t4ei-- J$Jypj CHECK NUMBER: 246758
PHILADELPHIA PA 1 91 78-1 401 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4237000 1028948 43.50 REPAIR PARTS
1096 4237000 1029229 327.38 REPAIR PARTS
� Global Headquarters Remit to:
10 Trotter Drive Cybex International, Inc. INVOICE
CYBEX®
Medway,MA 02053 P.O.Box 781401
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 Monon center Invoice Date: Jun/10/2015
USA Carmel IN 46032 Invoice: 0001028948
U C T. Customer No: CYB0037634
Payment Terms: Net 30
BIII TO: Carmel Clay Parks&Recreation
JUN 16 2815 Due Date: Jul/10/2015
Dawn Koepper AMOUNT DUE: 43.50 USD
1411 E. 116th St. _
Carmel IN 46032
United States
Shipment Information
Date Shipped: Jun/10/2015
Sales Order No: SVC0712464
Purchase Order No: XX2286
Pro No: 1Z5638020353992522
Carrier: United Parcel Service,—Inc. -
Ship Via: GROUND
Freight Terms: Prepaid
Line Product No. Description Quantity UOM Unit Amt Tax Net Amount
1 HF579000 Panel Fastener 10-24 U Type 25.00 EA 1.18 N 29.50
2 HX570412 BHSCS 10-24 X.50 SS 25.00 EA 0.26 N 6.50
3 OWTPRTFRT Shipping and Handling Charge 1.00 EA 7.50 N 7.50
Subtotal: 43.50
Subtotal (Sales/Use): 0.00
AMOUNT DUE: 43.50 USD
Order entered by Logan Nater. Thank you for your order. _
Part number provided by customer - -"
Dawn @ 317-573-4026
PLEASE NOTE: NEW REMITTANCE ADDRESS
CYBEX INTERNATIONAL
P.O. Box 781401
PHILADELPHIA, PA19178-1401
Buyer accepts and agrees to prices, specifications, standard terms &conditions of sale, including
warranty terms on this document,together with all the attachments hereto
Global Headquarters Remit to:
10 Trotter Drive Cybex International, Inc. INVOICE
Cybex International, Inc. Medway,MA 02053 P.O.Box 781401
(508)533-4300 Philadelphia,PA 19178-1401 page 1 of 2
(508)533-5500 fax United States
Sold Ta Carmel Clay Parks&Recreation Ship Ta Carmel Clay Parks&Recreation
1411 E. 116th St. 1235 Central Park Dr.E. Invoice Information
Carmel IN 46032 Monon center Invoice Date: Jun/11/2015
USA Carmel IN 46032 Invoice: 0001029229
USA Customer No: CYB0037634
Payment Terms: Net 30
BIII To: Carmel Clay Parks&Recreation Due Date: Jul/11/2015
Dawn Koepper " CT AMOUNT DUE: 327.38 USD
1411 E. 116th St.
Carmel IN 46032 JUN 16 �01�
United States
PY, Shipment Information
Date Shipped: Jun/11/2015
Sales Order No: WEB5024988
Purchase Order No: 38633
Pro No: --1Z5638020352365550.
- Carrier: - United-Parcel Service, Inc.-
Ship Via: GROUND
Freight Terms: Prepaid
Line Product No. Description Quantity UOM Unit Amt Tax Net Amount
1 4715-346 Com Spring.72 X 1.50 Lg 1.00 EA 2.23 N 2.23
2 4540-321 Bumper, Handle 1.00 EA 3.57 N 3.57
3 12000-560 DECAL WT PLATE(30-290) 10.00 EA 8.18 N 81.80
4 12000-561 DECAL WT PLATE(310-490) 2.00 EA 7.61 N 15.22
5 12050-216 W INPUT ARM 1.00 EA 139.17 N 139.17
6 4605-511 Insert,Plastic(5.94) 1.00 EA 5.25 N 5.25
7 HF579000 Panel Fastener 10-24 U Type 30.00 EA 1.18 N 35.40
8 HC622815 KT 1/4-20x3/4 SCK HD CAP SCR 2.00 EA 0.53 N 1.06
9 4121K117 Detent Pin Kit 1.00 EA 18.02 N 18.02
10 PR069400 Recess Bumper
2.00
P EA 1.73 N 3.46
11 HX570412 BHSCS 10-24 X.50 SS 30.00 EA 0.26 N 7.80
12 OWTPRTFRT Shipping and Handling Charge 1.00 EA 14.40 N 14.40
Subtotal: 327.38
` Subtotal (Sales/Use): 0.00
AMOUNT DUE:
327.38 U
SD
Order entered by Patricia Callery. Thank you for your order.
Platinum Sparkle paint Q
PLEASE NOTE: ,NEW REMITTANCE ADDRESS ,Z4
,. CYBEX INTERNATIONAL
P.O. Box 781401
� PHILADELPHIA PA19178-
1401
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 781401
Philiadelphia, PA 19178-1401
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
6/10/15 1028948 Cybex screws and clips xx2286 $ 43.50
6/11/15 1029229 Cybex parts for Fitness Fixx 38633 $ 327.38
Total $ 370.88
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
1
20—
Clerk-Treasurer
Voucher No. Warrant No.
361104 Cybex International, Inc. Allowed 20
P.O. Box 781401
Philiadelphia, PA 19178-1401
In Sum of$
$ 370.88
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#orBoard Members
Dept#
INVOICE NO CCT#/TITL AMOUNT
1096-21 1028948 4237000 $ 43.50 1 hereby certify that the attached invoice(s), or
1096-21 1029229 4237000 $ 327.38 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
June 25, 2015
Signature
$ 370.88 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I