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1 11 1 1lllllll I CERTIFICATE TAI TAX EXE PT 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2794/
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, NP
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
1x1112011
Child Source Cannel Poilca Department s
VENDOR
SHIP 3 Civic Square
7001 Wooster Pike TO Carmel, IN 46032
Medina, OH 44256 (317) 5712559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
f
I
QUANTITY UNIT OF MEASURE 1 DESCRIPTION UNIT PRICE EXTENSION
Account 00.05
1 Each shipping charges $133.50 $133.50
6 Each High Back Booster Front Adj 93- 209FSM $47.20 $283.20
6 Each Scenera 4 HN POS 93- 120FSM $43.00 $258.00
5 Each Safety 1st Designer Car Seat d((IIC $83.90 $319.50
f 4 o CC Sub Total: $994.20 OS 6 v .7 42, 1100,‘
MR
Send I Torcer Ilnic 0 t//
Carmel Police Department
Attn: Teresa Anderson
3 Civic Square
Cannel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
CarmerPolice Dept. �P PAYMENT $994.20
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
`I SHIPPING INSTRUCTIONS I HEREBY CERTIFY THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROP UFFI NT TO PAY FOR THE ABOVE ORDER.
•C.0.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY fff
SHIPPING LABELS. hied of Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 t TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
C LERK- TREASURER
DOCUMENT CONTROL NO. 2794 Z OFFICE COPY