HomeMy WebLinkAbout104365 CHILD SOURCE
City of Carmel
EachEachEachEachEach Sub Total
Department:Account:Fund:
3415434921983472198IC201CHZCosco Topside Backless Booster 1 pkSonus Convertible Seat 2PK.shippingOnBoard 35 (4-35 lbs) with adjustable base and up front Maestro Sport combination booster
(20-100lbs)$134.20$11.75$57.75$78.00$58.30 Page 1 of 1$1,023.65$233.20$231.00$134.20$390.00$35.25
111043-590.05900Grant Fund
INDIANA RETAIL TAX EXEMPT
Send Invoice To:
adjust
CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
Police Department
104365
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
$1,023.65
PAYMENT
10/22/2020361470
* 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 LABE
Carmel, IN 46032-
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 194
MEDINA, OH 44256 - Ann Gallagher
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
Jim Barlow
TITLE
50773 Chief
104365
CONTROL NO.
CONTROLLER
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION