HomeMy WebLinkAbout303818 10/06/16 0``%�.cqq\ CITY OF CARMEL, INDIANA VENDOR: 361104
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ONE CIVIC SQUARE CYBEX INTERNATIONAL INC CHECK AMOUNT: $*******190.86*
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CARMEL, INDIANA 46032 PO BOX 781401 CHECK NUMBER: 303818
.y,�oN PHILADELPHIA PA 1 91 78-1 401 CHECK DATE: 10/06/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4350000 0001104855 190.86 EQUIPMENT REPAIRS & M
Voucher No. Warrant No.
361104 Cybex International, Inc. Allowed 20
P.O. Box 781401
Philiadelphia, PA 19178-1401
In Sum of$
$ 190.86
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO kCCT#1TITLI AMOUNT Board Members
Dept#
1096-21 1104855 4350000 $ 190.86 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
September 27, 2016
Signature
$ 190.86 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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
9/21/16 1104855 Fitness Equipment Replacement Part xx4348 $ 190.86
Total $ 190.86
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
120
Clerk-Treasurer
• 1r
� ��g Global Headquarters Remit to .
10 Trotter Drive Cybex'jnternati,onal lnc: 'h. INVOICE
C bex International Inc. Medway,MA 02053 _P(Pe6'781 G1 c. r
Y (508)533-4300 [Philadelphia�L PQ 9_19178-1401 Page 1 of 1
- - .
(508)533-5500 fax Onnited-States
Sold To Carmel Clay Parks&Recreation Ship To: Carmel Clay Parks&Recreation
1411 E. 116th St. 1235 Central Park Dr.E. Invoice nfoxmation —
Carmel IN 46032 Monon center Invoice Date: LSep/21/2016.
USA Attention:Matt Whirle I� µY
Y Invoke: 00011`.0.4855`'
USA
Carmel IN 46032 Customer No: CYB0037634
Payment Terms: Net 30
Bill To: Carmel Clay Parks&Recreation Due Date: Oct/21/2016
Dawn Koepper AMOUNT DUE: 190.86 USD
1411 E. 116th St. RECEIVED
Carmel IN 46032
United States SEP 2 7 2016
Shipment Information
BY: Date Shipped: Sep/21/2016
Sales Order No; __ WEB'5.05`7431.
Purchase Order No: XX-4348
Pro No:
Carrier:
Ship Via: GROUND
Freight Terms:
Line Product No. Description Quantity UOM Unit Amt Tax Net Amount
1 4800-131 COVERED CUSHION SA TPR 20 X 25 1.00 EA 182.14 N 182.14
2 OWTPRTFRT Shipping and Handling Charge 1.00 EA 8.72 N 8.72
Subtotal: 190.86
Subtotal (Sales/Use): 0.00
AMOUNT DUES �. Y1'90.861JS
John Irvine order. Thank you
Matt Whirley/Dawn Koepper 317/573-5249
dkoepper@carmelclayparks.com
WEB5057431
PO-Number:XX-4348 - -
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