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City of CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100370
ONE CIVIC SQUARE _ 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
411812017 359233
SAFE KIDS WORLDWIDE Police Department
VENDOR CPS CERTIFICATION SHIP 3 Civic Square
P 0 BOX 17594 TO Carmel,IN 46032-
BALTIMORE,MD 21297--1594
PURCHASE ID BLANKET I CONTRACT PAYMENT TERMS FREIGHT
14664
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 210 Continuing Education
Account: 43-570.00
1 Each Child Passenger Safety Technician Training $85.00 $85.00
Sub Total $85.00
Send Invoice To:
Police Department Grose-6/19 in Martinsville, IN
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I — PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $85.00
•NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL �// ,
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 7.--7`✓ - —
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY — - — V
Tim Green
TITLE Chief of Police 1
CONTROL NO. 100370 CLERK-TREASURER _ —