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ity ®f Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
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 STAT BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
W15!2011
Child Some C23111O1 Police Department
VENDOR SHIP 3 Civic Squi
7099 Wooster Pik TO Cannel, IN 48032
Medina, OH 44 (317) 571
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 90-593.05/63A P0k.e- ji -cktil
1 Each shipping $291.54 $291.54
4 Each Baddess Shieidless Booster 93- 299FSMl $14.90 $59.00
10 Each High Back Booster Front Adj 93 -209ESM $47.20 $755.20
r
rr(7-
14 Each Scenes FIN POS 3C120FSM $43.00 $602.00
9 Each Safety 1st Designer Car Seat y ICO3 13 $63.90 $575.10
u Sub Total:
,4 $2,2 3.44
590 C6 1 1? 7 3 56-91 41
44 A Nillik
a 6100n
j
1 4 ti,,_ _6, .-:<D 4
+0,
s 0'
Send Invoice To:
Cannel Police Department
Attn: Teresa Anderson
3 Civic Square
Cannel, IN 45032 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $2,233•''
NP 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 AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY T IT ERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRI fJ FICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY id SHIPPING LABELS. Iel 81 /p
Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
s CLERK TREASURER
DOCUMENT CONTROL NO. 2 (9 OFFICE COPY