HomeMy WebLinkAbout214986 12/04/2012 CITY OF CARMEL, INDIANA
10 �. ONE CIVIC SQUARE VENDOR: 361470
a CARMEL, INDIANA 46032
° CHILD SOURCE
7001 MOSTER PIKE Page 1 of 1
MEDINA OH 44256 CHECK AMOUNT:
DEPARTMENT CHECK NUMBER: 1498 5
ACCOUNT CHECK DATE; 214986
852 PO NUMBER INVOICE NUMBER 12/4/2012
5023990 25515 197935 AMOUNT DESCRIPTION
330 . 35 INFANT SEATS
it
chill source Invoice
i Invoice Number: 0000197935
7001 Wooster Pike,Medina,0I-1 44256
Ph:330.723.4739 Fax:330.721.6799 Invoice Date: 11/14/2012
REMITTANCE ADDRESS: Invoice Due Date: 12/14/2012
WESTERN RESERVE DISTRIBUTING. INC.
dba CHILD SOURCE Customer: CARMPD
P.O.BOX 73714 Sales Order: 00001 12190
CLEVELAND,OH 44193
Tax ID 482-0563593
Sa1d To kI.
CARMEL POLICE DEPARTMENT,CITY TRINITY CLINIC
3 CIVIC SQUARE 1045 OAKRIDGE ROAD
CARMEL, IN 46032-2584 USA ATTN MAGGIE
Carmel, IN 46032 USA
CGS am_ ,I':,O;�c.. _> �al:i l�ia° ,_�. ,1�..✓B - � sErms -
25515 FEDEX GRND ORIGIN Net 30 Days
Sh pI ed n� ,Price` :� :F1r�iount
IC068FSM ON BOARD35 INFANT CAR SEAT W/BASE 3 $ 75.0000 : $ 225.00
93-211 FSM VOYAGER HIGHBACK(2 PER PACK) 2 $ 29.9000 $ 59.80
LAST ITEM
Tracking Numbers: 066443715696452, 066443715696469, 066443715696476, 066443715696483
Subtotal 284.80
Freight 45.55
Sales Tax 0.00
Payment/Credit Amount 0.00
�; 13alanc� 330.35
City ®f CarMel CEINDIANA RETAIL TAX EXEMPT
RTTIFICATE NO 003 2 0 0155 2 0 PAGE
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,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
91712M
Child Source Carrel Police Cep moot
VENDOR SHIP 3 Civic Square
7001 Woostor Pike TO Carmel, IN 4632
My odina, OH 442 (317)571 9
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00-M.00
3 Each On Board 35 Infant Car Seat IC068FSM $75.00 $225.00
2 Each Voyager I•Iighback 93-211FSM . $28.90 $59.80
1 Each shipping $45.55 $45.55
Scab Total: $330.35
Send Invoice To: _Carmel Police Cepar?rY ent
Attn: Terosa Ander soi
3 Civic Square
Canes, IN 42- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
urnel Police Dept. �.-p t.`?; PAYMENT $330.35
• 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 APPROPRIATIONISUFFICI ENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY --�"�I ✓ —�'��
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Chief of P011co
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
OCUMENT CONTROL NO.
A;. COPY-SIGN AND RETURN TO CLERK'S OFFICE