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Home My WebLink About190225 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 361470 Page 1 of 1 ONE CIVIC SQUARE CHILD SOURCE CHECK AMOUNT: $1,417.22 CARMEL, INDIANA 46032 7001 WOOSTER PIKE o �.�o MEDINA OH 44256 CHECK NUMBER: 190225 CHECK DATE: 9/2912010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 900 4359005 27026 161272 111.40 CAR SEATS 1110 4342100 27026 161727 108.82 CAR SEATS 852 5023990 27026 161727 1,197.00 CAR SEATS child s ource Invoice C Invoice Number: 0000161727 7001 Woostcr Pike, Medina, OH 44256 �I Ph: 330.723.4739 Fax: 330.721.6799 ED Invoice Date: 9/17/2010 REMITTANCE ADDRESS: I�M SEP 2 2 10 1P Invoice Due Date: 10/17/2010 WESTERN RESERVE DISTRIBUTING. INC. �.4+� dha CHILD SOURCE Customer: CARMPD �P]' P.O. BOX 73714 Sales Order: 0000095871 CLEVELAND, OH 44193 Fax ID #82- 0 56359 3 Sold T Ship To CARMEL POLICE DEPARTMENT, CITY CITY OF CARMEL POLICE DEPT 3 CIVIC SQUARE 3 CIVIC SQUARE CARMEL, IN 46032 -2584 USA ATTN ANN GALLAGHER Carmel, IN 46032 USA Ci►stbmecA ['erms t; 27026 FEDEX GR.ND ORIGIN Net 30 Days De�scnp Q tytiipp ed Ll n� t Price. Ari l 61472.65 CI -IiCCO KEY FI "r 30# ADVENTURE INFANT SEAT 10 119.7000 1.197.00 22- 53OFSM APEX 65 BOOSTER SEAT 5 PT HNS 1 1 1 1.=4000 1 1 1.40 LAST ITEM Tracking Numbers: 066443712187595, 066443712187601, 066443712187618, 066443712187625, 066443712187632, 066443712187649, 066443712187656, 066443712187663,066443712187670 ,066443712187687, 066443712187694 Subtotal 1.308.40 Freight 108.82 Sales Tax 0.00 Payment /Credit Amount 0.00 Balance 1.417.22 INDIANA RETAIL TAX EXEMPT PAGE C ity o� C arm° CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 3CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION Sept ember Car seats VENDOR Child Source SHIP Cit of Carmel Police Department 7001 Wooster Pike TO 3 Civic SquFarae Medina, OR 44256 Carmel,, IN 46062 ATTN: Ann Gallagher CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 10 61472°65 Chicco Rey fit 30# Adventure Infant Seats 119°70 1,197°00 1 22-- 530PSM Safety 1st Apex 65 20 -65lbs 111040 shipping 9 tc i 421 9z 590-05 HtJ� 852 $1,197.00 A s Send Invoice To: City of Carmel Police arttnen ATTN: Teresa Anderson 3 Civic Square Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT AMOUNT 1110 421 postage AYMENT 900 590-05 grant fund l A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. 852 852 p gif find 1. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN •SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY Y ,d SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief 1561 Pollce AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO- DOCUMENT CONTROL NO. 2 8 0 2 V A.P.V. COP Y SI SURER AND RETURN 70 CLERIC'S OFFICE VOUCHER NO. NO. ALLOWED 20 IN THE SUM OF a ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 20 signature Title t Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Child Source Purchase Order No. 27026F 7001 Wooster Pike Terms Medina, OH 44256 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 9/17/10 161727 payment for car seats 1,417.22 Total 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Child Source IN SUM OF 7001 Wooster!'Pike Medina, OH 44256 1,417.22 ON ACCOUNT OF APPROPRIATION FOR police general fund police grant fun police gift fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 27026F 161727 421 108.82 J11(s) is (are) true and correct and that the materials or services itemized thereon for 27026F 161727 590 -05 111.40 which charge is made were ordered and received except 27026F 161727 852 1,197.00 September 24 20 10 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund