25888 Child Source C1 i \V Of Carm e jj CERTIFICA E 003120155 020 PAGE
y �a PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 25998
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, ASP
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
11/712011
Child Souree Cannel Police Department
VENDOR SHIP 3 Civic Square
TO
7001 Wooster Plke Carmel, IN 48032
Medina, OH 44258 (317) 571-2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS
"y FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION I UNIT PRICE I EXTENSION
Account 00.690.05
1 Each shipping charges 38810 $88.90
2 Each High Back Booster Front Adj 93- 209FSM 347.20 394.40
8 Each Scenera 4 HN P0S 9.3.1208SM $43.00 $258.00
2 Each Safety 1st Designer Car Seat (f f ICO34A0Bfjl $83.90 $127.80
p� (��o Sub Total: $589.10
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Send Invoice To:
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Carmel Police Department =��JffI�j11
Attn: Teresa Anderson
3 Civic Square
Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept: c_ C PAYMENT $569.10
/VP 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 HERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP FFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE hief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 25888 CLERK- TREASURER
OFFICE COPY