HomeMy WebLinkAbout257134 04/05/16 %���p'' CITY OF CARMEL, INDIANA VENDOR: 361104
ONE CHECK AMOUNT: S"""'152.53•
ONE CIVIC SQUARE CYBEX INTERNATIONAL INC
;. ?� CARMEL, INDIANA 46032 Po Box 781401 CHECK NUMBER: 257134
9.y��TON�'� PHILADELPHIA PA 1 91 78-1 401 CHECK DATE: 04/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4237000 1075761 152.53 REPAIR PARTS
Voucher No. Warrant No.
361104 Cybex International, Inc. Allowed 20
P.O. Box 781401
Philiadelphia, PA 19178-1401
In Sum of$
$ 152.53
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO CCT#rJrITLI AMOUNT Board Members
Dept#
1096-21 1075761 4237000 $ 152.53 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
March 30, 2016
Signature
$ 152.53 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
i
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
3/14/16 1075761 Fitness Equipment Repair Parts Feb'16 PM xx3417 $ 152.53
Total $ 152.53
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
Global Headquarters t Remrt to x
10 Trotter Drive t(�u Cybex lnterriati nal no. INVOICE
Medway,MA 02053 z Rff.`Box 781401
Cybex International, Inc. (508)533-4300 ti�Philadelphia`PA 1917811401. page 1 of 1
(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_,Info.rmation
Carmel IN 46032 Monon center dr1VOICe-Date 3 rx Mar/1412016
USA Carmel IN 46032r r
0001075761
USA Customer No: CYB0037634 �z-
Payment Terms: Net 30
BIII To: Carmel Clay Parks&Recreation Due Date: Apr/13/2016
Dawn Koepper AMOUNT DUE: 152.53 USD
1411 E. 116th St. � � ,;1D
Carmel IN 46032
United States
MAI% 1 8 X616 Shipment Information
rte: Date Shipped: Mar/14/2016
Sales Order No: WEB5047418
Purchase Order No: XX-3417
Pro No:
Ship Via: GROUND
Freight Terms:
Line Product No. Description Quantity UOM Unit Amt Tax Net Amount
1 4800-172 CUSHION SA BIKE 15"MOLDED 1.00 EA 51.34 N 51.34
2 HX570412 BHSCS 10-24 X.50 SS 6.00 EA 0.26 N 1.56
3 FB030251 BEARING ROD END MALE.500-20LH 1.00 EA 38.77 N 38.77
4 FB030250 BEARING ROD END MALE.500-20RH 1.00 EA 37.75 N 37.75
5 4800-199 WEAR COVER CS 1.00 EA 8.53 N 8.53
6 HF579000 Panel Fastener 10-24 U Type 6.00 EA 1.18 N 7.08
7 OWTPRTFRT Shipping and Handling Charge 1.00 EA 7.50 N 7.50
Subtotal: 152.53
Subtotal (Sales/Use): 0.00
AMOI�NT DUE v 152, USD
Order Entered by Natalie Fernandes
20=Dove Grey Upholstery
Buyer accepts and agrees to prices, specifications, standard terms&conditions of sale, including
warranty terms on this document,together with all the attachments hereto