HomeMy WebLinkAbout104052 CHILD SOURCE
City of Carmel
EachEachEachEachEach Sub Total
Department:Account:Fund:
413223431198IC201CHZ3492198Chase no harness 40-110lbs booster 2pkshippingOnBoard 35 (4-35 lbs) with adjustable base and up front Maestro Sport combination booster (20-100lbs)Cosco Topside
Backless Booster 1 pk$100.00$26.95$78.00$58.30$11.75 Page 1 of 1$107.80$100.00$234.00$116.60$581.90$23.50
111043-590.05900Grant Fund
INDIANA RETAIL TAX EXEMPT
Send Invoice To:
adjust
CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
Police Department
104052
FEDERAL EXCISE TAX EXEMPT
35-6000972
3 Civic Square
THIS NUMBER MUST APPEAR ON INVOICES, A/P
ONE CIVIC SQUARE
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
CARMEL, INDIANA 46032-2584
Carmel, IN 46032-
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PLEASE INVOICE IN DUPLICATE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTIONDEPARTMENTACCOUNTPROJECTPROJECT
ACCOUNTAMOUNT
$581.90
PAYMENT
9/4/2020361470
* A/P 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
CHILD SOURCE Trinity Clinic
*SHIP PREPAID.
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
VENDORSHIP
305 LAKE ROAD 1045 W 146th St. Suite-B
*C.O.D. SHIPMENT CANNOT BE ACCEPTED.THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
TO
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
Carmel, IN 46032-
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
MEDINA, OH 44256 - Ann Gallagher
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
Jim Barlow
TITLE
47352 Chief
104052
CONTROL NO.
CONTROLLER
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION