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City of Carmel. CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
• FEDERAL EXCISE TAX EXEMPT
35-60000972 25639 .
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
9/0/2093
Child Source Cannel Police Department
VENDOR ToIP 3 Civic Squam
7001 Wooster Pik Cannel, IN 46032
Medina, OH 44256 (397)6712550
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00 0.05
Each .
Each
8 Each High Back Booster Front Mj = e-2 t= SM $47.20 $377.60
8 Each On Board35 Infant Car Seat "f ,010068 ',, I!',"- $75.00 $600.00
t Each shipping ; ' $140.30 $140.30
•
• ., � � � Sub Total: $1,117.90 97.90
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Send Invoice To: �� : , -0
Canal Police Department
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 46032 . PLEASE INVOICE IN DUPLICATE
DEPARTMENT \ ACCOUNT PROJECT • PROJECT ACCOUNT AMOUNT
Cannel Police Dept. PAYMENT $1,917.1
• 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
THIS APPROPRI 10 UFFICIENT TO PAY FOR THE ABOVE ORDER.•SHIP REPAID.•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY /.i
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL �
SHIPPING LABELS. V Chid of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE _
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 5 6 3 9 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY - „4c,- r