HomeMy WebLinkAbout32753 Child SourceCi
of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PUNS. -I E ORDER NUMBER
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
Pt9DER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
Child Sei{rta
Iesli+7#g6l PAllen rinnxu$mntr*
W tl m Rosorbo Distributing, Inc.
VENDOR Lem rid
IYYJodina, OH 442M
SHIP
TO
3 Civic Squarm
Cluing!, IN
(317) 579
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
Acea'`%r- &c .
C
F MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
1 Each shipping charges
2 Each Chase No Harness Booster
2 Each Than 5 Carseat
2 Each On Board35 Infant Car Seat
Send Invoe ner ric ° Department
Attn: Pat Young
3 Citric Square
Carmol, IN 48032-
3431198
3702098
IC088FSM
PLEASE INVOICE IN DUPLICATE
$55.35
$26.95
$57.75
$77.40
Sub Total:
arms
Iea; t amit
ACCOUNT
PROJECT
PROJECT ACCOUNT
. SHIPPING INSTRUCTIONS
• SHIP REPAID. •
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL'
. SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 327 5 3
ORDERED BY
f•
TITLE
CLERK - TREASURER
OFFICE COPY
$55.35.
$53.90
$115.50
$154.80
$379.55
�3�AtM1'AOl7NT
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS VOUCHER HASDTHE PROPS THORN VOUCHER AND EVERY
AV T ATTACHED.
AND
•
THIS APPROP IATIO THAT �E IS O PAY
FOR THE ABOVE ORDER.
Chief /cog Ponce