HomeMy WebLinkAbout227984 1/14/2014 CITY OF CARMEL, INDIANA VENDOR: 361104 Page 1 of 1
0 yf l ONE CIVIC SQUARE CYBEX INTERNATIONAL INC CHECK AMOUNT: $182.62
CARMEL, INDIANA 46032 PO BOX 8500-1401
PHILADELPHIA PA 19178-1401 CHECK NUMBER: 227984
CHECK DATE: 1/14/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4350000 936396 182 . 62 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 Page 1 of 1
(508)533-5500 fax United States
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: Dec/28/2013
USA Carmel IN 46032 Invoice: 0000936396
USA Customer No: CYB0037634
Payment Terms: Net 30
Bill To: Carmel Clay Parks&Recreation Due Date: Jan/27/2014
Carrie Keaveney AMOUNT DUE: 182.62 USD
1411 E. 116th St. — �a ,�
Carmel IN46032 '+ - �t3
United States
JAN 0 014 Shipment Information
Date Shipped: Dec/27/2013
BY. Sales Order No: SVC0653766
Purchase Order No: XX-73
Pro No: 1Z5638020354710306
Carrier: ____ United Parcel Service, Inc.
- -- --- --Ship Via: G _ROUND
Freight Terms: Prepaid
Line Product No. Description Quantity UOM Unit Amt Tax Net Amount
1 PP130002 INSERT DOMED PLASTIC 1.00 EA 1.75 N 1.75
2 12000-375 PANEL INSERT 1.00 EA 109.27 N 109.27
3 3900-441 DECAL CYBEX VER BLACK 1.00 EA 12.86 N 12.86
4 HX-17017 Plug,tube end,1.5"tube OD 3.00 EA 0.16 N 0.48
5 750A-103 PCA Handset Audio Jack 1.00 EA 50.26 N 50.26
6 OWTPRTFRT Shipping and Handling Charge 1.00 EA 8.00 N 8.00
Subtotal: 182.62
• ��22� Subtotal (Sales/Use): 0.00
AMOUNT DUE: 182.62USD
Order entered by Tom Beksha
XX--13
Inp -aI-435ocloo
Buyer accepts and agrees to prices, specifications, standard terms & conditions of sale, including
warranty terms on this document, together with all the attachments hereto.
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
12/28/13 936396 Cybex parts for fitness equipment XX-73 $ 182.62
Total $ 182.62
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.
361104 Cybex International, Inc. Allowed 20
P.O. Box 8500-1401
Philiadelphia, PA 19178-1401
In Sum of$
$ 182.62 4
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center '
PO#or Board Members
Dept# INVOICE NO kCCT#/TITLI AMOUNT
1096-21 936396 4350000 $ 182.62 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
9-Jan 2014
Signature
$ 182.62 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund