HomeMy WebLinkAbout253323 01/15/16 CITY OF CARMEL, INDIANA VENDOR: 361104
• ONE CIVIC SQUARE CYBEX INTERNATIONAL INC CHECK AMOUNT: $********58.87*
=d �_�, CARMEL, INDIANA 46032 PO BOX 781401 CHECK NUMBER: 253323
�'Q'roN�. PHILADELPHIA PA 19178-1401 CHECK DATE: 01/15/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4237000 1060618 58.87 REPAIR PARTS
ACCOUNTS PARABLE 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
12/15/15 1060618 Cybex'Parts for Nov'15 PM xx3113 $ 58.87
Total $ 58.87
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
120
Clerk-Treasurer
Voucher No. Warrant No.
361104 Cybex International, Inc. ;Allowed 20
P.O. Box 781401
Philiadelphia, PA 19178-1401
Gln Sum of$
$ 58.87
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
I
PO#or INVOICE NO kCCT#/TITLl AMOUNT i Board Members
Dept#
1096-21 1060618 4237000 $ 58.87 !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
I
January 6, 2016
I
I
Signature
$ 58.87 Accounts.Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I
<WYBET Global Headquarters
10 Trotter Drive '` Cybexklhtemational jl g. INVOICE
Medway,MA 02053 P O Bpx_781x401
C bex International Inc.
Y (508)533-4300 Philadelphia PA�1,9178,1401 Page 1 of 1
(508)533-5500 fax United States'c_d
Sold Ta Carmel Clay Parks&Recreation Ship Ta Carmel Clay Parks&Recreation
1411 E. 116th St. 1235 Central Park Dr.E. �-�-- ^�"""� "Invoice-lnformatlon
Carmel IN 46032 Monon centerInuolce.Date ,. Dec/15/20„15
USA Carmel IN 46032 II:Ily01Ce: „ � � �0001Q606�$
USA Customer No: CYB0037634
Payment Terms: Net 30
Bill To: Carmel Clay Parks&Recreation Due Date: Jan/14/2016
Dawn Koepper __ AMOUNT DUE: 58.87 USD
1411 E. 116th St. `V'
Carmel IN 46032 R
United States
DEC 2 1 2015 Shipment Information
Date Shipped: Dec/15/2015
Sales Order No: WEB5042026
Purchase Order No: XX-3113
Pro No: 1Z5638020355859315
- - - - - Cafrier --- United=Parcel-Servicejnc: -=~
Ship Via: GROUND
Freight Terms: Prepaid
Line Product No. Description Quantity UOM Unit Amt Tax Net Amount
1 1109OK006 Kit Handle Trim Ring 1.00 EA 12.60 N 12.60
2 FB030251 BEARING ROD END MALE.500-20LH 1.00 EA 38.77 N 38.77
3 OWTPRTFRT Shipping and Handling Charge 1.00 EA 7.50 N 7.50
Subtotal: 58.87
Subtotal (Sales/Use): 0.00
AMOUNT DUE: "58 87USD
Order entered by Maria Vine. Thank you for your order.
Buyer accepts and agrees to prices, specifications, standard terms &conditions of sale, including
warranty terms on this document,together with all the attachments hereto