HomeMy WebLinkAbout103561 CHILD SOURCE LII .�� � INDIANA RETAIL TAX EXEMPT Page 1 of 1
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0ERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 03561
c✓ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AR
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
12/16/2019 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
42760
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 852 Police Gift Fund
Account: 50-23990
1 Each 3492198 Maestro Sport combo booster(20-10011bs) $261 20 . : $261.20
Sub Total $261.20
•
Send Invoice To: '_..
Police Department
ti
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $261.20
SHIPPING INSTRUCTIONS '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
'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 kC).
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945ii!AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BYJim Barlow
TITLE Chief \
CONTROL NO. 103561 CLERK-TREASURER