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31527 Child Source C 0 t ®l Carmel INDIANA RETAIL TAX EXEMPT 155 00 PAGE 1�1/J111 CERTIFICATE N0.003120155 002 0 PURCHASE ORDER NUMBER • FEDERAL EXCISE TAX EXEMPT 31527 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. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 3/1412014 Child Source Cannel Police Department VENDOposem Reserve Distributing, Inc. SHIP 3 Civic Square 305 Lake Rd TO Cannel, IN 46032 - Medina, OH 44255 (317)5712559 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 00 .05 1 Each shipping charges $38.20 $30.20 4 Each Titan 5 Carseat 3702098 $57.75 $231.00 Sub Total: $287.20 444 ©rQ * �6. -4 * \ i. grimi So•~ -..• 0 1� Send Invoice To: Irlfl- "" ��j�t�y Cannel Police Department . Attn: Pat Young 3 Civic Square Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE . DEPARTMENT ACCOUNT• PROJECT PROJECT ACCOUNT AMOUNT Cannel Police Dept. �(3 . PAYMENT $287.20 • 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 HERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIA N• FFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •COD.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY J SHIPPING LABELS. Chief of Police •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 31527 CLERK-TREASURER DOCUMENT CONTROL NO. OFFICE COPY