26074 Child Source C 0 INDIANA RETAIL TAX EXEMPT PAGE
ity f C arme l CERTIFICATE NO. 003120155 y PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 28074
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
10114/2011
Child Source Cannel Police Department
VENDOR
SHIP 3 Civic Square
7001 Wooster Pike TO Cannel, IN 48032
Medina, OH 44256 (317) 5712559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITYY PM UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00. 590.05
1 Each shipping charges $220.50 $220.50
1 Each Belt Positioning Apex85 BC049FSM $111.40 $111.40
4 Each Baddess Shleldless Booster 93- 299r>=i
FSM $14.80 $59.80
r
8 Each High Back Booster Front Aqj 8$ 209ESM $47.20 $283.20
8 Each Voyager HIghback s���LL)) -1 ��93 211 off� $29.80 $239.20
10 Each Scenera 4 HN P0S p y •.•93 -120FS i *Se,
c S Sy $43.00 $430.00
10 Each Safety 1st Designer Car Se 0 ICO34A0B $83.90 $838.00
i i∎ ve Sub Total: $1,982.90
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Send Invoice To
Cannel Police Department ��r 111
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 48032 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. coLs PAYMENT $1,982.90
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.C.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I B RE IS AN IGAT BALANCE IN
T HIB HERE APP Y C I ON SUFFICIENT TO PAV UNOBL FOR TH ABOVE ORDER
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL p
SHIPPING LABELS. Chief of Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945 'St: TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 Q O 7 q CLERK TREASURER
DOCUMENT CONTROL NO. V �4 OFFICE COPY