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32053 Child Source C1 1� ® r' Carmel INDIANA RETAIL TAX EXEMPT 155 00 PAGE II 1\`1/.Illl ,llr I,�/ CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 32053 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 6/13/2014 Child Bounce Carmel Police Department Western Reserve Distributing, Inc. SHIP 3 Civic Square VENDOR 305 Lake Rd TO Cannel, IN 48032 Medina, OH 44256 (317)571-2559 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 00-590.05 1 Each shipping charges . $159.60 $159.60 2 Each High Back Booster Front Adj 93-209FSM $47.20 $84.40 4 Each Backless Shleldless Booster 93-299FSM $14.90 $59.60 2 Each Chase No Harness Booster ((34 98j $28.95 $53.90 4 Each On Board35 Infant Car Seat Of'II t088FtSM $77.40 $309.60 4 Each Than 5 Carseat 3762018..•• 1 $57.75 $231.00 Sub Total: $908.10 .4 di',1 IA u ,` > I. a p y . Sendlnvoice To: - `°' _ r© " Cannel Police Department Attn: Pat Young 3 Civic Square . Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT aRTle OICe a •7 PAYMENT I • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO. 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 • SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. \\ Chief of Police •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. I, CLERK-TREASURER DOCUMENT CONTROL NO. 32 0 5 3 OFFICE COPY