HomeMy WebLinkAbout32856 Child SourceCity of C
(Il
rinel
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
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
412412015
Child l ourco
Western Reservo Distributing, Inc.
VENDOR `
305 Lie Rd
RModina, OH 442
SHIP
TO
term! Police Deprtmont Y
\"-
3 Civic Squau9a 4
CarmellN 4603
(37)111= u'i 1+3 4-6o
CONFIRMATION
BLANKET.
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 00.05
1 Each shipping charges
4 Each Chase Factory Select Harnessed
Booster
4 Each Chase No Harness Booster 40- 110Ibs
4 Each Safety 1st on board 4-351b
Send Invoice To:
Police Dopartmont
Attn: Pat Young
3 Civic Square
Cannel, IN 46032-
3062188
PLEASE INVOICE IN DUPLICATE
$101.50
$47.10
$20.05
$84.00
Sub Total:
$101.50
$188.40
$107.80
$338.00
$733.70
DEPARTMENT
Carmel Police Dept.
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. 328 5 6
ORDERED BY
PAYMENT
AMOUNT
$733.70
• 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 THERE IS AN UNOBLIGATED BALANCE IN
-"THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
TI�E�Chlel: of Pgllce
CLERK - TREASURER
OFFICE COPY