The URL can be used to link to this page

Home My WebLink About206182 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 361470 Page 1 of 1 ONE CIVIC SQUARE CHILD SOURCE CARMEL, INDIANA 46032 7001 WOOSTER PIKE CHECK AMOUNT: $950.75 MEDINA OH 44256 CHECK NUMBER: 206182 Yro„ ca CHECK DATE: 2/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 900 4359005 26054 183283 950.75 CAR SEATS r dfild ss ce' Invoice Invoice Number: 0000183283 7001 Wooster Pike, Medina, 01 -1 44256 Ph: 330.723.4739 Fax: 330.721.6799 Invoice Date: 2/1/2012 REMI TTANCE ADDRESS: Invoice Due Date: 3/2/2012 WESTERN RESERVE DISTRIBUTING, INC. dba CHILD SOURCE Customer: CARMPD P.O. BOX 73714 Sales Order: 0000105491 CLEVELAND, 01 -1 44193 Tax ID ##8 0563593 So To Ship To CARMEL POLICE DEPARTMENT, CITY TRINITY CLINIC 3 CIVIC SQUARE 1045 WEST 146TH STREET CARMEL, IN 46032 -2584 USA c/o MATTHEW CENTER ATTN MAGGIE Carmel, IN 46032 USA ustnmer P..O-- —Sh Via:. 26054 FEDEX GRND ORIGIN Net 30 Days F Item Descri Qty Shipp Unit Price Amount ICO34AOB SAFETY Ist DESIGNER CARSEAT 5 -224 W /BASE 6 63.9000 383.40 (NORDICA) 93- 12OFSM SCENERA 4 HNS POS (2 /PK) 6 43.0000 258.00 93-211 FSM VOYAGER HIGHBACK (2 PER PACK) 6 28.9000 173.40 LAST ITEM i Tracking Numbers: 066443715408192, 066443715408208, 066443715408215, 066443715408222, 066443715408239, 06644: Subtotal 814.80 Freight 135.95 Sales Tax 0.00 Payment /Credit Amount 0.00 Bala cn e 950.75 INDIANA RETAIL TAX EXEMPT PAGE C iIt t CERTIFICATE N0. 003120155 002 0 ty ®1i \��1J lVS rme 1i PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 28A 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 DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 9��1092 Child Source Carmel Police Department VENDOR SHIP 3 CIVIC SgU@FG Mi Woos4or PING TO Cafmml, IN 46M Medina, DH 442M (317) 679 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY- I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 00-C M.05 6 Each Voyager Highback 93- 211FSM $28.90 $173.40 8 Each Scenery 4 HN PO S 93 12OFSM $43.00 $258.00 8 Each Sam 1 st Designer Car Seat ICO34+0.0 $83.90 $383.40 1 Each shipping $135.95 $135.95 0 Sub Total: $950.75 a -4 o e Send Invoice To: Carmel Police Depavtmont Attn: `i'omgz Anderson 3 Civic Squ@m Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. A. C,4 PAYMENT 75 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. i 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 SUFF CIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. l o f P olice THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. 2 6 ®5 4 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. NO._ ALLOWED 20 IN THE SUM OF 1 ON ACCOUNT OF APPROPRIATION FOR h e 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 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)) 02/01/12 183283 car seats $950.75 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 $950.75 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Grant Fund PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 26054 I 183283 I 590.05 $950.75 1 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 Friday, February 10, 2012 A Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund