HomeMy WebLinkAbout32851 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
PURCHASE ORDER NUMBER
32051
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
401702015
.
Child Some
VENDOR
7001 Wooster Pike
IVledlna, OH 44255
SHIP
TO
Cannel Police Department
3 CIvIc Square
Cannel, IN 46032
(397) 571
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
.1
fi�
QUANTITY I UNIT OF MEASURE
DESCRIPTION
Account 002.00
1 Each Shipping
4 Each backless shieldiess booster (4pk) 93- 299FSM
2_ Each On Board 35 Infant Car Seal IC068FSM
4 Each Chase factory select harnessed booster( u `At
2pk4
Send Invoice To:.
Cannel PoIIco Department
Attn: Pat Young
3 Civic Squared
Cannel, IN 46032-
PLEASE INVOICE IN DUPLICATE
UNIT PRICE
EXTENSION
$50.81
$14.90
2b.c(S
Sub Total: tt
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
Cannel Police Dept.
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. 32851
ORDERED BY
AMOUNT
PAYMENT 3
• A/P VOUCHER CANNOT BE APPROVED FOR PA ENT UNLE 7OI
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 THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIAI• `.UFFICIENTTO PAY FOR THE ABOVE ORDER.
TITLE thief of Police
CLERK - TREASURER
OFFICE COPY