HomeMy WebLinkAbout25390 Child Source C O City ® n C(.i J�C INDIANA RETAIL TAX EXEMPT 155 00 PAGE
11�/Il J,Lr CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT �j �-1
35-60000972 /7M�'S'1 C,
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
0/12/2013
Child Source Cannel Police Department
VENDOR
SHIP 3 Civic Square
7001 Wooster Plke Cannel, IN, 48032
Medina, OH 44258 (317)571-2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS . FREIGHT
QUANTITY UNIT OF MEASUREJ _ DESCRIPTION UNIT PRICE EXTENSION
Account 00 .05
1 Each shipping charges $132.80 $132.80
4 Each Chase No Harness Booster 3431198 $26.95 $107.80
4 Each Baddess Shieldless Booster ( ;3721:' $14.90 $59.60
6 Each High Back Booster Front Adj l s. ° I I f $47.20 $283.20
3 Each On Board35 Infant Car Seat f &.it6ioi8
$77.40 $232.20
8 Each Tdan 5 Carseat $57.75 $346.50
Sub Total: $1,181.90
"ti I �• .
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cast SendInvoiceTo "' M (��(
Cannel Police Department
Attn: Teresa Anderson
3 Civic Square
Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT \ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. / \`L3 PAYMENT $1,161.90
v • 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 PROPERISWORN AFFIDAVIT ATTACHED.
I HEREBY CERTIFY THAT TARE IS AN UNOBLIGATED BALANCE IN
SHIPPING INSTRUCTIONS • THIS APPROPRIA WSJ FICIENT TO PAY FO THE ABOVE ORDER.
•SHIP REPAID.
•C 0.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE of of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25390 CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY