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City`"" �~ INDIANA RETAIL TAX EXEMPT 0 Carmel CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2
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
3URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
11W2013
Child Source Carmel POIICCI Department
VENDOR SHIP 3 Civic square,
7001 Wooster Pike Camel, IN 46032
Medina, OH 44256 (317)6712569
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00 .05
1 Each shipping $83.39 $83.39
Each
1 Each Than 85 Convertibel car seat 1 ptc 31 •98 _ $58.45 $58.45
2 Each Trial 85 Convertible carseat 2pt 40 : : $58.45 $118.90
3 Each On Board35 Infant Car Seat i. /T LIL 88-. / �, $75.00 $225.00
� T 1! <... �r�g•° � Sub Total: $483.74
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Send Invoice To: .-� .
Carmel Police Department
Attn:Torssa Anderson
3 Civic Square
Camel, IN - PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. �� PAYMENT x•74
• NP 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 APPROQ'IA I" 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. Chid g I�
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ChiGoli o1 Police
l
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25658 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY