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0 INDIANA RETAIL TAX EXEMPT PAGE
LL �'1 \)/ ®f ;C arme JI CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
y Y FEDERAL EXCISE TAX EXEMPT
35-60000972 31392
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,AR
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 ,
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
19PAf7013 •
Child Source mig61,Poit® apafe q - --7.
VENDOWestem Reserve Distributing, Inc. SHIP L q Boa , (
P.0,. Box 73714 \
C evoland, OH 44193 171:57114559"‘- k,`.
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00490.05
1 Each shipping charges $135.80 . $135.80 ,
8 Each Chase No Harness Booster 3431198 $28.95 _$215.80
4 Each Than 5 Carsea1 3702098 - $5775 $231.00
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4 Each High Back Booster Front Adj Ad . 93°-209ESM-4 .. $47.20 $188.80
8 Each On Board35 Infant Car Seat 1/��// �IC088Fs� /- $77.40 $484.40
•
• ` QED•. '•• °'y// Sub Total: $1,235.40 ..-•
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Send Invoice To: `--�0 " i�5��
1r� ll`
Cannel Police Department
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. lKB PAYMENT $1,2355.40
• 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 CERTIFYTH•T tIERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRI. •N PIGIENT 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 .I .: -
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
A CLERK-TREASURER'! r
DOCUMENT CONTROL NO. 313 9Z OFFICE COPY 1 ,