Loading...
HomeMy WebLinkAbout194139 02/03/2011 CITY OF CARMEL, INDIANA VENDOR: 361470 Page 1 of 1 0 ONE CIVIC SQUARE CHILD SOURCE CARMEL, INDIANA 46032 7001 WOOSTER PIKE CHECK AMOUNT: $729.30 oN MEDINA OH 44256 CHECK NUMBER: 194139 CHECK DATE: 2/3/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 852 5023990 27246 167084 129.30 CARSEATS /BOOSTERS 900 4359005 27246 167084 600.00 CARSEATS /BOOSTERS �-,;ed source- Invoice INAWNWA AMMMAil MIS Invoice Number: 0000167084 7001 Wooster Pike, Medina, 0I -1 44256 Ph: 330.723.4739 Fax: 330.721.6799 Invoice Date: 1/14/2011 REMITTANCE ADDRESS: Invoice Due Date: 2/13/2011 WES'T'ERN RESERVE DIS'T'RIBUTING, INC. Customer: CARMPD dba CHILD SOURCE P.O. 13OX 73714 Sales Order; 0000098226 CLEVELAND, 01-1 44193 T ax ID 982- 0563 SpldTa z_..._..__.�_S to CARMEL POLICE DEPARTMENT, CITY CARMEL POLICE DEPARTMENT 3 CIVIC SQUARE 2 CIVIC SQUARE TERESA ANDERSON ATTN ANN 317 -571 -2720 CARMEL, IN 46032 -2584 USA Carmel, IN 46032 USA Gistomer P'O -Shi Via -t C B s �rTer;i m 27246 FEDEX GRND ORIGIN Net 30 Days ip t�on M" t. Q ty.5hipp ed °U ii�txPr ice `:Amouilr ICO34AOB SAFETY Ist DESIGNER CARSEAT 5 -22# W /BASE 4 h390i ?0 255.60 (NORDICA) 93- 12OFSM SCENERA 4 HNS POS (2 /PK) 4 43.0000 172.00 93- 209FSM HIGH BACK BOOSTER FRONT ADJ 2PK 4 47.2000 S 1$5.80 LAST ITEM �t Tracking Numbers: 066443715085546, 066443715085553, 066443715085560, 066443715085577, 066443715085584, 06644; Subtotal 616.40 Freight 112.90 Sales Tax 0.00 Payment/Credit Amount 0.00 E 771 1 -7717 Z.Balanee 729.30 INDIANA RETAIL TAX EXEMPT PAGE City o C arme� CERTIFICATE NO.003120155 002 D PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 27246 35- 60000972 ONE CIVIC SQUARE 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 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 1/9212011 Child Raurco CmI,'I of Policy DopaKmont 3 Chic Squm v""%3 SHIP oostGr Plho TO C@rmol, IN Modim, Ofd 44266 (317) 571 CONFIRMATION BLANKET CONTRACT PAYM ENT T FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 00462.0 9 Each Shipping $112.90 $112.90 4 Each Scenora 4 HNS P'OS 93- 120FSM $43.00 $172.00 4 Each Sam 1 s9 Designer Carseat ICO34AOS $03.90 $255.80 4 Each High Rack Booster Front AD.i 93`=2 $$47.20 $188.80 r Sub Total: $7 I AN 4 0 r R 4 i� s p i Send Invoice TO: Cl of pnllco Dopaltment Attn: Tomsa Anderson 3 CIVIC Squaw Carmel, IN 4f3— PLEASE INVOICE IN DUPLICATE DEPART,( NT ACCOUNT PROJECT PROJECT ACCOUNT /1 (JUNT Carmel �I r] O`'cc 1 4b �AYMENT C- ,n A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND LLJJ VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS HEREBY CERTIFY THA ER€ IS AN UNOBLIGATED BALANCE IN SHIP REPAI). THIS APP ROP RIAILOWSUFFIGI ENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS.' i�1 fll poilco THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. 27 2 4 6 A.P.V. COPY SIGN AND RETURN TO CLERIC OFFICE VOUCHER NO, WARRANT ALLOWED 20 IN THE SUM OF 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 Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 Child Source IN SIAM OF 7001 Wooster Pike Medina, OH 44256 $729.30 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Grant Fund PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members I hereby certify that the attached invoice(s), or 27246 167084 590.05 o bill(s) is (are) true and correct and that the I L 3 materials or services itemized thereon for which charge is made were ordered and received except Friday, January 28, 2011 Chief of Police Title 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 01/14/11 167084 payment for car seats $729.30 i 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