250185 10/07/15r
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*F CITY OF CARMEL, INDIANA VENDOR: 361104
® .-1 ONE CIVIC SQUARE CYBEX INTERNATIONAL INC CHECK AMOUNT: S**......89.18*
_� CARMEL, INDIANA 46032 PO BOX 781401 CHECK NUMBER: 250185
9M�TON 4A` PHILADELPHIA PA 19178-1401 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4237000 1031908 314.27 REPAIR PARTS
1096 4237000 1046233 -225.09 REPAIR PARTS
• L
_C YBLYs Global Headquarters Remit to:
10 Trotter Drive Cybex International, Inc. INVOICE
Medway, MA 02053 P.O. Box 781401
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/27/2015
USA Carmel IN 46032 Invoice: 0001031908
USA Customer No: CYB0037634
Payment Terms: Net 30
BIII To: Carmel Clay Parks&Recreation Due Date: Jul/27/2015
Dawn Koepper AMOUNT DUE: 314.27 USD
1411 E. 116th St.
Carmel IN 46032
United States
Shipment Information
JUL U 6 2015 Date Shipped: Jun/26/2015
Sales Order No: SVC0714242
BY:_ Purchase Order No: 38754
Pro No: 1Z5638020352207328
Carrier: United Parcel Service, Inc.
Ship Via: GROUND
Freight Terms: Prepaid
Line Product No. Description Quantity UOM Unit Amt Tax Net Amount
1 1612OK005 KIT,SMITH PRESS, BAR END RH 1.00 EA 300.12 N 300.12
2 OWTPRTFRT Shipping and Handling Charge 1.00 EA 14.15 N 14.15
Subtotal: 314.27
Subtotal (Sales/Use): 0.00
AMOUNT DUE: 314.27 USD
Thank you. Order entered by Darin Smith
Part number provided by customer
SVC0714242
Dawn at 3175734026
PLEASE NOTE: NEW REMITTANCE ADDRESS
CYBEX INTERNATIONAL
P.O. Box 781401 A
PHILADELPHIA, PA19178-1401
f r,`
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 CybexInternational, Inc. CREDIT INVOICE
Medway, MA 02053 P.O.Box 781401
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: Sep/22/2015
USA Carmel IN 46032 Invoice: 0001046233
USA Customer No: CYB0037634
Payment Terms: Net 30
Bill To: Carmel Clay Parks&Recreation Due Date: Oct/22/2015
Dawn Koepper AMOUNT DUE: (225.09) USD
1411 E. 116th St. 7BY:
�`�J�� Original Invoice: 0001031908 Jun/27/2015
Carmel IN 46032
United States
8 2015 Shipment Information
Date Shipped: Jun/26/2015
Sales Order No: SVC0714242
Purchase Order No: 38754
Pro No: 1Z5638020352207328
Carrier: United Parcel Service, Inc.
Ship Via: *UPS GRND
Freight Terms: Pre aid
Line Adj Product No. Description Quantity UOM Unit Amt Tax Net Amount
1 1612OK005 KIT,SMITH PRESS, BAR END RH (1.00) EA 300.12 N (225.09)
Subtotal: (225.09)
Subtotal (Sales/Use): 0.00
AMOUNT DUE: (225.09)USD
,ELgr
Order Entered by Chris Yanovitch.
RMA0042093
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
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
6127/15 1031908 Weight bar bracket xx2369 $ 314.27
9/22/15 1046233 Credit for return xx2369 $ (225.09)
Total $ 89.18
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 781401
Philiadelphia, PA 19178-1401
In Sum of$
$ 89.18
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO kCCT#/TITLI AMOUNT Board Members
Dept#
1096-21 1031908 4237000 $ 314.27 1 hereby certify that the attached invoice(s), or
1096-21 1046233 4237000 $ (225.09) 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
October 1, 2015
1P
Signature
$ 89.18 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
i
1