HomeMy WebLinkAbout33234 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
33234
THIS NUMBER MUST APPEAR ON INVOICES, AP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
11/10/2015
Child Source
Western Resolve Distributing, Inc.
VENDOR
305 Lake Rd
Medina, OH 44258
SHIP
TO
Cannel Police Department
3 Civic Square
Cannel, IN 46032
(317) 5712559
CONFIRMATION
BLANKET
CONTRACT PAYMENT TERMS
FREIGHT
OUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 00-690.05
1 Each shipping charges
1 Each Safety 1st OnBoard 35
8 Each Chase No Harness Booster 40-110Ibs
6 Each Chase Factory Select Hamessed
Booster
8 Each Backless Shieldless Booster
8 Each Titan 5 Carseat
Send Invoice To:
Cannel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 48032-
IC201DFC
3431198
PLEASE INVOICE IN DUPLICATE
$265.00
$84.00
$28.95
$47.10
$14.90
$57.75
Sub Total:
$265.00
$84.00
$161.70
$282.60
$119.20
$482.00
$1,374.50
DEPARTMENT
Carmel Police Dept.
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.
Ili DOCUMENT CONTROL NO. 332 34
PROJECT
ORDERED BY
TITLE
CLERK -TREASURER
OFFICE COPY
PROJECT ACCOUNT
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 ''P''''''R''''''OOOO111PER SWORN AFFIDAVIT ATTACHED.-
• I HEREBY CERT! THERE THERE IS ANNOBLIGATED BALANCE IN
THIS APPROP UFFICIEN PAY FOR THE ABOVE ORDER.
AMOUNT
$1,374.50