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IIity oIa]rI1rTIe1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100750
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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 IM ,
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
8/31/2017 361470
CHILD SOURCE Police Department
VENDOR 305 LAKE ROAD SHIP 3 Civic Square
TO Carmel, IN 46032-
MEDINA,OH 44256-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
18646
QUANTITY T) UNIT OF MEASURE- --- --- C -
T DESCRIPTION UNIT PRICE EXTENSION '
Department: 1110 Fund: 900 Grant Fund
Account: 43-590.05
4 Each 3431198 Chase no harness 40-110Ibs booster 2pk $26.95 $107.80
6 Each 3102198 Maestro 50 combo booster 20-100Ibs $58.30 $349.80
6 Each IC201CHZ OnBoard 35(4-35 lbs)with adjustable base and up front $84.00 $504.00
adjust
1 Each shipping charges $146.00 $146.00
2 Each 3472198 Sonus Convertible Seat 2PK. $57.75 $115.50
Sub Total $1,223.10
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Send Invoice To: "� ;g... ,, .
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Police Department
3 Civic Square `I AO /*
Carmel, IN 46032- m ��
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECTPROJECT ACCOUNT AMOUNT 1
PAYMENT $1,223.10
SHIPPING INSTRUCTIONS *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
'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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jim Barlow
TITLE Chief
CONTROL NO. 100750 CLERK-TREASURER