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31949 Child Source City ®f Carmel INDIANA RENO.003120155 0155 00 PAGE CERTIFICATE NO. TAX EXEMPT 755 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 31949 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 4!712014 Child Source Cannel Police Department VENDORWOstem Reserve Distributing, Inc. SHIP . 3 Civic Square • 305 Lake Rd TO Cannel, IN 48032 Medina, OH 44258 (317)5712559 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 00-690.05 1 Each shipping charges $145.90 $145.90 4 Each Chase No Harness Booster 3431198 $28.95 - $107.80 2 Each High Back Booster Front Adj 93.209FSM $47.20 $94.40 2 Each Than 5 Carseat 5W ( I 3401198 _ $57.75 $115.50 2 Each On Board35 Infant Car Seat TA - 08F ∎ o $77.40 $154.80 401. 6,<.,1 it V •- � Sub Total: ;818.40 0, , : : * ?ft' Q ■ .• © M•..�d 4 If Send Invoice To: - f (t 0 Cannel Pollee Department Attn: Pat Young . 3 Civic Square Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Cannel Police Dept. PAYMENT $818.40 • 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 ORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT TH •E IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATI• '-CIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. • C.O.D.SHIPMENTS CANNOT BE ACCEPTED. • PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �(T SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE - /ref of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. - II N CLERK-TREASURER 1 DOCUMENT CONTROL NO. 31949 OFFICE COPY ,