26054 Child Source 0 INDIANA RETAIL TAX EXEMPT PAGE
City of/Carmel CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
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
1/3012012
Child Source Carmel Police Department
VENDOR SHIP 3 Civic Square
7001 Wooster Pike To Cannel, IN 46032
Medina, OH 44256 (317) 571-2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
Account 00. 590.05
8 Each .Voyager Highback 93- 211FSM $28.90 *173.40
8 Each Scenera 4 HN POS 93- 120FSM $43.00 $258.00
8 Each Safety 1st Designer Car Seat ICO34A0B $83.90 $383.40
1 Each shipping $135.95 $135.95
0 O V CA Sub Total: $950.75 U
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Send Invoice To Y`_' -6\j"
Carmel Police Department
Attn: Teresa Anderson
3 Civic Square
Cannel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 1 AMOUNT
Carmel Police Dept. C PAYMENT $950.75
l� J I AIP 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 TH RE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION LIEF TENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. of POIIco
THIS ORDER ISSUED. IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE lef
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
C LERK TREASURER
DOCUMENT CONTROL NO. 26054 OFFICE COPY