HomeMy WebLinkAbout25744 Child Source 4 "' / INDIANA RETAIL TAX EXEMPT PAGE
i�ty'I or ��11... �� CERTIFICATE NO.003120155 002 0
n / PURC HASE ORDER NUMBER
,'-::••,..,',;;;,',4.,i ` 2k4 FEDERAL EXCISE TAX EXEMPT •
te
r
35-60000972 7
k,' ,'t l,� ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
t::: P SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASEIORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
l`- Child Saone Cannel Police Department
SHIP
VENDOR TO 3 Civic Square
7004 Wooster Pike Cannel, IN
Medina, OH -.25 3171 671 2
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE ""EXTENSION
Account 0D .05
1 Each shipping '42.40 $42.40
1 Each Cosco Highbacic Booster(V ndmill) 22253BMQ $40.50 $40.50
2 Each On Board35 Infant Car Seat ,6,� $77.40 $154.80
1 Each Titan 05 ConvertibcEcar seat 1 p , ( .,��'�9` . t°
$31.20 $ 9.20
" ,.> 4 ,` Sub Total: $307.90
�. •
- • '
•
��
a�<-- 4
Send Invoice To: )
I „,,,4/ i')
Camel Police Department
Attn: Teresa Anderson
3 Civic Square
Camel, IN 4i PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT 'PROJECT ACCOUNT. AMOUNT
Cannel Police Dept. `., PAYMENT $307.90
• 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 APPROPRIATIO .UFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. /
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. J//
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY f
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ..-.I.< ;< n
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THEREO.
25744 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY