32425 Child SourceCity ®f Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35-60000972
CITY OF CARMEL - 1997
PAGE
PURCHASE ORDER NUMBER
32425
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
8111/2014
Child Bounce
VENDOa0atem Reserve Distributing, Inc.
305 Lake Rd
Medina, OH 44258
SHIP
TO
Cannel Police Department
3 Civic Square
Cannel, IN 48032
(317) 571 -2559
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
Account 00490.05 — �“2 :\.
1 Each shipping
4 Each High Back Booster Front Adj
2 Each Than 5 Carseat
F- 8 Each On Board35 Infant Car Seat
Order 0128495
Send Invoice To:
DESCRIPTION
UNIT PRICE
93- 209FSM
3702098
10068FSM
c6,51._ Z
Cannel Police Department
Attn: Pat Young
3 Civic Square
Cannel, IN 48032-
o
S°\ 463 4 ��
S2-�o �°lZ
$87.56
$47.20
$57.75
$7740
Sub Total:
EXTENSION
$87.56
$188.80
$115.50
$464.40
DEPARTMENT
Cannel Police Dept.
ACCOUNT
SHIPPING INSTRUCTIONS
PROJECT
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 32425
ORDERED BY
TITLE
PROJECT ACCOUNT
PAYMENT
•
AMOUNT
91856.26
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 TH P-.6 PER SWORN AFFIDAVITATT ED:
I HEREBY CERTIFY T THERE IS AN UNO= D BALANCE IN
THIS APPROPR UFFICIENT T FOR THE ABOVE ORDER.
Chjef of Police
CLERK - TREASURER
OFFICE COPY