307766 01/30/17 (9, )
CITY OF CARMEL, INDIANA VENDOR: 361104CHECK AMOUNT: S"'"•'106.42`ONE CIVIC SQUARE CYBEX INTERNATIONAL INCCARMEL, INDIANA 46032 PO BOX 781401 PHILAX78144 PA 19178-1401 CHECK NUMBER: 307766
CHECK DATE: 01/30/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4237000 1121996 106.42 REPAIR PARTS
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4CWGlobal Headquarters Remit to:
LTSEY10 Trotter Drive Cybex International, Inc. INVOICE
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: Jan/19/2017
USA Carmel IN 46032 Invoice: 0001121996
USA Customer No: CYB0037634
Payment Terms: Net 30
Bill To: Carmel Clay Parks&Recreation Due Date: Feb/18/2017
Dawn KoepperT�j,� AMOUNT DUE: 106.42 USD
1411 E. 116th St. �F
Carmel IN 46032
United States JAN 5 2017
Shipment Information
BY: "'J1 Date Shipped: Jan/19/2017
Sales Order No: WEB5060802
Purchase Order No: XX-4785
Pro No: 1Z5638020357794060
Carrier: United Parcel Service, Inc.
Ship Via: GROUND
Freight Terms: Pre aid
Line Product No. Description Quantity UOM Unit Amt Tax Net Amount
1 12000-560 DECAL WT PLATE(30-290) 10.00 EA 8.34 N 83.40
2 12000-561 DECAL WT PLATE(310-490) 2.00 EA 7.76 N 15.52
3 OWTPRTFRT Shipping and Handling Charge 1.00 EA 7.50 N 7.50
Subtotal: 106.42
Subtotal (Sales/Use): 0.00
AMOUNT DUE: 106.42 USD
Order created by Dale McCann-thank you
dkoepper@carmelclayparks.com
Buyer accepts and agrees to prices,specifications, standard terms&conditions of sale, including
warranty terms on this document,together with all the attachments hereto .