31971 Child Source CA INDIANA RETAIL TAX EXEMPT PAGE
1tY of Carmel.l\ .aI7•,mLL e� CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER I
FEDERAL EXCISE TAX EXEMPT 31971
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
5812014
Child Bourne Carmel Police Department
VENDOFMMem Reserve Distributing, Inc. SHIP 3 Civic Square
305 Lake Rd TO Carmel, IN 48032
Medina, OH 44258 (317)5712559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION " UNIT PRICE EXTENSION
Account 0090.05
1 Each shipping charges $152.24 $152.24
2 Each On Board35 Infant Car Seat IC088FSM $77.40 $154.80
4 Each High Back Booster Front Adj 92FA $47.20 $188.80
2 Each Tdan 5 Carseat $57.75 $115.50
4 Each Chase No Harness Booster $28.95 $107.80
•4 Each Bacldess Shieldless Booster r' 0rM61
•.93=299FSM-°ll to: $14.90 ;59.80
f � � - Sub Total: $778.74
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F -A ` Viz ;
Send Invoice To
Yea C? [
Cannel Police Department
Attn: Pat Young
3 Civic Square n
Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE v
0
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT' AMOUNT
Cannel Police Dept. PAYMENT "J $778.74
c',r
• A/P 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 APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.•C.Q.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY ,,,,_� e )
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITL\�5 - Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 31971 OFFICE COPY