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Home My WebLink About212542 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 361470 Page 1 of 1 ONE CIVIC SQUARE CHILD SOURCE CARMEL, INDIANA 46032 7001 WOOSTER PIKE CHECK AMOUNT: $2,235.42 +� MEDINA OH 44256 ,o. CHECK NUMBER: 212542 CHECK DATE: 9/12/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 900 4359005 26230 193503 1, 503 .32 CAR SEATS 900 4359005 26231 193504 732 . 10 CAR SEATS �„d rce- Invoice lignommmiam Invoice Number: 0000193503 7001 Wooster Pike.Medina,OH 44256 Ph:330.723.4739 Fax: 330.72 1.6799 Invoice Date: 8/17/2012 REMITTANCE ADDRESS: Invoice Due Date: 9/16/2012 WESTERN RESERVE DISTRIBUTING, INC. Customer: CARMPD dba CHILD SOURCE P.O. BOX 73714 Sales Order: 00001 10332 CLEVELAND,OH 44193 Tax ID#82-0563593 Sold To - Ship To _ CARMEL POLICE DEPARTMENT, CITY CARMEL POLICE 3 CIVIC SQUARE 3 CIVIC SQUARE CARMEL, IN 46032-2584 USA 317-571-2559 Carmel, IN 46032 USA Customer P:O Sfii- V►a -- _ - -_ _.. . .,., . -: _. .,1 O:B __ Terms 26230 FEDEX GRND ORIGIN Net 30 Days L Item Descripton m h►pped Unit Price Amount IC034AOB SAETY Ist DESIGNER CARSEAT 5-22# W/BASE 9 S 63.9000 + 575.10 (NORDICA) 3702098 TITAN 5 CARSEAT 50H 2PK 8 $ 57.7500 S 462.00 93-211 FSM VOYAGER HIGHBACK (2 PER PACK) 6 $ 29.9000 S 179.40 3701 198 TITAN 5 CARSEAT 504 1 PK 1 S 57.7500 S 57.75 LAST ITEM i Tracking Numbers: 066443715610304, 06644371 561 031 1, 066443715610328, 066443715610335, 066443715610342, 06644: Subtotal 1,274.25 Freight 229.07 Sales Tax 0.00 Payment/Credit Amount 0.00 (' ____Balance 1,503.32 ciild u e' Invoice Invoice Number: 0000193504 7001 Wooster Pike,Medina,OH 44256 Ph: 330.723.4739 Fax: 330.721.6799 Invoice Date: 8/17/2012 REMITTANCE ADDRESS: Invoice Due Date: 9/16/2012 WESTERN RESERVE DISTRIBUTING, INC. dba CHILD SOURCE Customer: CARMPD P.O. BOX 73714 Sales Order: 00001 10336 CLEVELAND,OH 44193 Tax ID#82-0563593 Sold To ,, Ship To CARMEL POLICE DEPARTMENT, CITY TRINITY CLINIC 3 CIVIC SQUARE 1045 OAKRIDGE RD CARMEL, IN 46032-2584 USA ATTN MATTHEW 25 CENTER MAGGIE Carmel, IN 46032 USA Customer-P.O Shi Via F.013.. - -- fermc _ A 26231 FEDEX GRND ORIGIN Net 30 Days Item Description�_A_ __ Qty_Sh�pped Unit Price _ Amount IC034AOB _ TSAFETY Ist DESIGNER CARSEAT 5-22# W/BASE 4 $ 63.9000 $ 255.60 (NORDICA) 3702098 TITAN 5 CARSEAT 50#2PK 4 $ 57.7500 $ 231.00 93-211 FSM VOYAGER HIGHBACK (2 PER PACK) 4 $ 29.9000 $ 119.60 LAST ITEM i Tracking Numbers: 066443715610472, 066443715610489, 066443715610496, 066443715610502, 066443715610519, 06644; Subtotal 606.20 Freight 125.90 Sales Tax 0.00 Payment/Credit Amount 0.00 .-____:Balance 732.10 INDIANA RETAIL TAX EXEMPT PAGE City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 2634 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 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 0/4562092 ,f Child Soums � e " i J SH s C / VENDOR TOIP �� 7004 Woostor Piko Modina, 0I4 44255 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS - -) CF,41W V� Account �pp,pUNIITOF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account IH .05 4 Each !Voyager High5ack 93-211FSM $29.90 $119.60 4 Each Titan 5 Carsed 3702096 $57.75 $ I.% 4 Each Safety 9si Designer Car Seat 'jC0'fI, $63.90 $235.60 1 Each shipping charges ', $125.90 $125.90 Sub Total: $732.10 I g -9 qu4 3 x Send Invoice To: r � ) C@101 Police Dop.,21tMont Attn:Torasa Andorcon 3 CIVIC aqumm Carml, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT $732.40 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION S�T TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY •PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ,erg •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE hie oY/p Folk's AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. q CLERK-TREASURER DOCUMENT CONTROL NO. "••+� A.P.V. COPY-SIGN,AND RETURN TO CLERK'S OFFICE VOUCHER VVARRANTND`____ ALLOWED 20___ |N THE SUM DF$ ' [ ` ON ACCOUNT OF APPROPRIATION FOR � � Board Members PO#or DEPT# INVOICE NO. ACCT#iTITLE AMOUNT | hereby certify that the attached invoice(s), or bill(s) is (sxa) true and correct and that the materials or services itemized thereon for which charge ie made were ordered and received except ' ` 20___. ' Signature � ' Title Cost distribution leugencmaomraxnn if , claim paid mnm,vehicle highway fund . ` INDIANA RETAIL TAX EXEMPT PAGE City of C�lrmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER •'i 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 STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 'URCHASE ORDER DATE DATE REQUIRED f__REqUISITION NO. VENDOR NO. DESCRIPTION Child Sourco Carmoi Poilco Dopartmont VENDOR TOHIP 3 CIVIC $gdlm 7009 Wooster Phis Cool, IN 4M M--dim, CH 442 (317)571-209 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 09• D.05 9 Each Tdan 5 Carsealt 5W 3701198 $57.75 $57:75 6 Each Voyager Highback 93-211FSM $29.00 $179.40 8 Each Than 5 Carsea 7020�_f� $61.15 $489.20 9 Each Safety 1st Designer Car Seat CO $03.90 $575.10 1 Each shipping charges p . I $229.07 $229.07 °. • � Sub Totd: $1,530.52 s� �o G 19 Send Invoice To: Camol Pollco Dopwtmont Attn:Toms@ Andomon 3 Civic Squm Carmel, IN dam= PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. i' PAYMENT $1,5M.52 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN •SHIP REPAID. THIS APPROPRIATION SUF PCIENT TO PAY FOR THE ABOVE ORDER. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �•►�% 6 SHIPPING LABELS. / •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ,BI�8A Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. � ° CLERK-TREASURER DOCUMENT CONTROL NO. 2`6 2 3® A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ 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 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)) 08/17/12 193504 car seats $732.10 08/17/12 193503 car seats $1,503.32 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 $2,235.42 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Grant Fund PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 26231 193504 -590.05 $732.10 I hereby certify that the attached invoice(s), or _ bill(s) is (are) true and correct and that the 26230 193503 -590.05 $1,503.32 materials or services itemized thereon for which charge is made were ordered and received except Thursday, September 06, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund