26160 Child Source INDIANA RETAIL TAX EXEMPT PAGE
1
City ®f Carmel l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
�1/ FEDERAL EXCISE TAX EXEMPT 26160
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A1P
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
5/9/2012
Child Source Cannel Police Department
VENDOR SHIP 3 Civic Square
7001 Wooster Pike To Carmel, IN 46032
Medina, OH 44258 (317) 571 -2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00.05
1 Each shipping $188.95 $188.95
4 Each Titan 5 Carseat 3702098 $57.75 1231.00
10 Each High Back Booster Front Adj 9 209E $47.20 $472.00
8 Each Safety 1st Designer Car Seat AO IC634AUB_ $83.90 $511.20
7 Qq (COQ Sub Total: $1,383 -15
Gj e.
,r fir t it
I.
Send Invoice To: W O
P
Carmel Police Department
Attn: Teresa Anderson
3 Civic Square
Cannel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. 4:E> PAYMENT $1,383.15
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS 1 HEREB'( CERTIFY THAT THERE SAN UNOSLIGATED EALANCE IN
THIS APPROPRIATION S FF IENT 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. C 1 of Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 26160 CLERK- TREASURER
OFFICE COPY