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� /// Carmel�i O f CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 25500
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
910093
Child Some Camel Police Department
VENDOR SHIP 3 Civic Square
TO
7009 Wooster Pike CUInel, IN 46032
Medina, OH 44200 (397)57i-2550
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
Account UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00 �+g0.00
4 Each. On Board35 Infant Car Seat IC088FSM $75.00 $300.00
6. Each Tribute 5 Convertible Car Seat 3812198 $48.95 $293.70
2 Each High Banc Booster Front Adj 8 ' F`h'' $47.20 $94.40
2 Each Voyager Highbach $29.90 $59.80
1 Each shipping )7 --6- F..(( $106.75 $106.75
.. Sub Total: $854.65
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N41.45,? .........4%. //7 -...•-•••••••,A 4,4 .
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Send Invoice To: Ar----0
w
Carol Polico Dopsentont
Attn: Tonna Anderson
3 Civic Squara
Camel, IN 46032= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. `-cS PAYMENT $654.65
• VP 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
THIS APPROPRRIA ON SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. !1
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE hlef o1 Police
olice
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERRETO.
2 5 9 o CLERK-TREASURER
DOCUMENT CONTROL NO. . OFFICE COPY "