101967 CHILD SOURCE INDIANA RETAIL TAX EXEMPT Page 1 of 1
City o f Iarinnie1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101967
ONE CIVIC SQUARE 35-6000972 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
9/24/2018 361470
CHILD SOURCE Police Department
VENDOR 305 LAKE ROAD SHIP 3 Civic Square
TO Carmel, IN 46032-
MEDINA,OH 44256-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
29477
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Fund: 852 Police Gift Fund
Account: 50-239.90
4 Each 3102198 Maestro 50 combo booster 20-100Ibs $58.30 $233.20
2 Each IC201CHZ OnBoard 35(4-35Ibs) $78.00 $156.00
1 Each shipping charges $87.00 $87.00
2 Each 3472198 Sonus convertible seat 2pk $57.75 $115.50
Sub Total $591.70
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Send Invoice To: a , a, „tli2
Police Department
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3 Civic Square ,, 9 v k'
Carmel, IN 46032- ,\.,,,,,,:,,,:,,„,,,,,,g. t
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $591.70
SHIPPING INSTRUCTIONS '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
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL � .15)'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jim Barlow !�
TITLE Chief (� Va
CONTROL NO. 101967 CLERK-TREASURER v \