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City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
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FEDERAL EXCISE TAX EXEMPT 29
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.
I FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 `
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
31412013 .
Child Source Ca>eel Police Department
VENDOR SHIP 3 Civic Square
7001 Wooster Pik e TO Cannel, IN 48032
Medina, OH 44258 (397)5712550
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00. 9
4 Each On Board35 Infant Car Seat IC088FSM $75.00 $300.00
4 Each Voyager Highback 93-211FSVI $29.90 $119.50
4 Each Backless Shieldiess Booster _99,'. $14.90 $59.00
1 Each shipping — $79.35 $79.35
4 °'*". • Sub Total: $558.55
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Send Invoice To: . °"
Cannel Police Department
Attn:Teresa Anderson
3 Civic Square
Cannel, IN 48032= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
Cannel Police Dept. ��"j PAYMENT $558.55
• 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 T THRE 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 /
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS:
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE hid of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 5 6 61 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY r`';