HomeMy WebLinkAbout33166 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
33186
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
912512015
Child Sourco
Western Reserve Distributing, Inc.
VENDOR
305 Lake Rd
Medina, OH 44258
SHIP
TO
Carmel Police Department
3 Civic Square
Carmel, IN 46032
(317) 5712559
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 00-690.05
2 Each amp no back booster 40-110Ibs
1 Each shipping
2 Each Titan 5 Carseat
5 Each Safety 1st on board 445Ib
Send Invoice To:
Carmel Police Department
Attn: Pat Young
3 Civic Square
Carmel, IN 46032-
3414198
3702098
PLEASE INVOICE IN DUPLICATE
$15.70
$90.10
$57.75
184.00
Sub Total:
$31.40
$90.10
$115.50
$420.00
$857.00
C
DEPARTMENT
armel 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.
ORDERED BY
TITLE
CLERK -TREASURER
DOCUMENT CONTROL NO. 33166 OFFICE COPY
St6A7 GO NT
PAYMENT
• NP 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 THA�TTH• ISE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATOR -gICIENT TO PAY FOR THE ABOVE ORDER.
eV of Police