218011 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 361104 Page 1 of 1
s' ` ONE CIVIC SQUARE CYBEX INTERNATIONAL INC CHECK AMOUNT: $289.28
o CARMEL, INDIANA 46032 PO BOX 8500-1401
PHILADELPHIA PA 19178-1401 CHECK NUMBER: 218011
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4350000 884561 289 . 28 EQUIPMENT REPAIRS & M
Global Headquarters Remit to:
10 Trotter Drive Cybex International, Inc. INVOICE
Medway, MA 02053 P.O. Box 8500-1401
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& Recreatioi Ship To: Carmel Clay Parks& Recreatior Invoice Information
1411 E. 116th St. 1235 Central Park Dr. E. Invoice Date: Feb/23/2013
Carmel IN 46032 Monon center Invoice: 0000884561
USA Carmel IN 46032
USA Customer No: CYB0037634
Payment Terms: Net 30
Due Date: Mar/25/2013
BIII To: Carmel Clay Parks&Recreation AMOUNT DUE: 289.28 USD
Carrie Keaveney C:+ TN7ED
1411 E. 116th St.
Carmel IN 46032 FEB 2 8 2013
United States Shipment Information
BY: Date Shipped: Feb/22/2013
Sales Order No: SVC0618623
Purchase Order No: MC003811A
Pro No: 1Z5638020354625426
_ Carrier: United Parcel Service-,-Inc.
Ship Via: GROUND
Freight Terms: Prepaid
Line Product No. Description Quantity UOM Unit Amt Tax Net Amount
1 EC-18267 BATTERY 12V 7AHR 1.00 EA 46.91 N 46.91
2 5315SO28 Top Cable F/Cable Columns 1.00 EA 65.00 N 65.00
3 5649-002 Cable S A 1 00 EA 65.00 N 65.00
4 HX570412 BHSCS 10-24 X.50 SS 32.00 EA 0.26 N 832
5 JC700930 Fhscs .375-16X2.50 4.00 EA 1.31 N 5.24
6 JC700420 Bhscs.375-16 X 1.25 1.00 EA 1.05 N 1.05
7 00000206 Connector Links F/Lat Pulldown 2.00 EA 4.20 N 8.40
8 OWTPRTFRT Shipping and Handling Charge 1.00 EA 9.20 N 9.20
9 11040K010 Kit Top Weight Hardware 1.00 EA 80.16 N 80.16
Purchase�aR-� FOOL F� �
Description -QjE�P,41S.I TZ Subtotal: 289.28
P.O,# _P or F Subtotal (Sales/Use): 0.00
G.L.# IOq(10" 21'4 122>5 4000 AMOUNT DUE:
289.28 USD
Budget
Line Descr
Purchaser Date
Approval BWVERAGGGEPTPA3 g TO PRICES,SPECIFICATIONS,STANDARD TERMS&CONDITIONS OF SALE,
INCLUDING WARRANTY TERMS ON THE REVERSE SIDE OF THIS DOCUMENT,TOGETHER WITH ALL
ATTACHMENTS HERETO.
CYBEX INTERNATIONAL. INC
STAN'DARDITkMSAND C',0NDITIONS
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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 8500-1401
Philiadelphia, PA 19178-1401
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
2/23/13 884561 Parts for fitness repair $ 289.28
Total $ 289.28
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
Voucher No. Warrant No.
i
361104 Cybex International, Inc. Allowed 20
P.O. Box 8500-1401
Philiadelphia, PA 19178-1401
In Sum of$
$ 289.28
f
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO kCCT#/TITLI AMOUNT Board Members
Dept#
1096-21 884561 4350000 $ 289.28 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
l
I
7-Mar 2013
Signature
$ 289.28 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund