26098 Child Source City of Carmel rme l CERT
RETAIL TAX EXEMPT
NO. 03120155 002 0 PAGE
\1/ �a PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2
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
3/1912012
Child Source Cannel Police Department
VENDOR SHIP 3 Civic Square
7001 Wooster Pike TO Carmel, IN 48032
Medina, OH 44258 (317) 5712559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00.590.05
1 Each shipping charges 5138.70 5138.70
4 Each Tdan 5 Carseat 3702098 $81.15 $244.80
8 Each High Back Booster Front Adj 93 -208 SM $47.20 $283.20
8 Each Safety 1st Designer Car Seat (f I I 0 B_ $83.90 $383.40
O F Sub Total: $1,049.90
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Send Invoice To: 'r �l llU
Cannel Police Department
JJ 1f
Attn: Teresa Anderson
3 Civic Square
Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. c)..i3 PAYMENT 1,049 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 PR PER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIF THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP O UFFICIEN 'PAY FOR THE ABOVE ORDER.
SHIP REPAID.
•QO.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY C
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. lef of Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
26098 CLERK TREASURER
DOCUMENT CONTROL NO. OFFICE COPY