307853 02/06/17 CITY OF CARMEL, INDIANA VENDOR: 361 104 CHECK AMOUNT: $...*****90.40*
ONE CIVIC SQUARE CYBEX INTERNATIONAL INC
s ,4 CARMEL, INDIANA 46032 PD BOX 781401 CHECK NUMBER: 307853
PHILADELPHIA PA 19178-1401 CHECK DATE: 02/06/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4237000 1122842 90.40 REPAIR PARTS
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�EMET• 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
(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/25/2017
USA Carmel IN 46032 Invoice: 0001122842
USA Customer No: CYB0037634
Payment Terms: Net 30
Bill To: Carmel Clay Parks&RecreationY17 7 FD Due Date: Feb/24/2017
Dawn Koepper R� AMOUNT DUE: 90.40 USD
1411 E. 116th St. !1 i
Carmel IN 46032 JAN 33 0 20 I7
United States
BY:
Shipment Information
Date Shipped: Jan/25/2017
Sales Order No: WEB5060988
Purchase Order No: XX-4801
Pro No: 1Z5638020357804503
Carrier: United Parcel Service, Inc.
Ship Via: GROUND
Freight Terms: Prepaid
Line Product No. Description Quantity UOM Unit Amt Tax Net Amount
1 PP460011 Knob Oval.375-16 male 2.00 EA 41.45 N 82.90
2 OWTPRTFRT Shipping and Handling Charge 1.00 EA 7.50 N 7.50
Subtotal: 90.40
Subtotal (Sales/Use): 0.00
AMOUNT DUE: 90.40 USD
John Irvine order. Thank you
Dawn Koepper 317/573-5249
PO Number:XX-4801
Buyer accepts and agrees to prices, specifications, standard terms&conditions of sale, including
warranty terms on this document,together with all the attachments hereto .