HomeMy WebLinkAbout32822 Child SourceCi
of Carm
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
PURCHASE ORDER NUMBER
32822
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE.REQUIRED
REQUISITION NO. •
VENDOR NO.
DESCRIPTION
311912015
Child Source
VENDOR
7001 Wooster Pike
Medina, OH 44256
SHIP
TO
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 0052.00
4 Each Chase no harness 40- 110ibs booster 2pk 3431198
1 Each Shipping
4 Each " Chase factory select harnessed booster 30621.98.
2pk
8 Each Titan 85 convertible carseat 2ptt
8 Each Embrace 35 FactorySelect
Send Invoice To:
Carmel Pollee Department
Attn: Pat Young
3 Civic Square
Cannel, IN 46032-
DEPARTMENT
PLEASE INVOICE IN DUPLICATE
$28.95
$171.50
$47.10
$81.20
$74.15
Sub Total:
$107.80
$171.50
$188.40
$387.20
$444.90
$1,279.80
ACCOUNT
PROJECT
PROJECT ACCOUNT
Carmel Police Dept.
• 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.:
•
SHIPPING INSTRUCTIONS
DOCUMENT CONTROL NO. 32822
ORDERED BY
TITLE
LOW-TREASURER
;.OFFICE COPY
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
I HEREBY CERTIFY THAT TF{ERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIAT Or/5il ICIENT TO PAY FAR THE ABOVE ORDER.
AMOUNT
$1,279.80