26230 Child SourceCity of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
282313
TH13 NUMBER MUST APPEAR ON INVOICES. MP
VOUCHER. DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER.DATE
DATE REOUfRED
REQUISITION NO. .
VENDOR NO.
DESCRIPTION
8/15/2012
Child Source
VENDOR
7001 Wooster Pike
Modlna, OH 44258
SHIP
TO
Cannel Police Department
3 Civic Square
Cannel, IN 48032
(317) 571.2559
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 00. 690.05.
1 Each Than 5 Carsea150#
0 Each Voyager Highbadc
8 Each Than 5 Carseat
9 Each Safety 1st Designer Car Seal
1 Each shipping charges
Send Invoice To.
Cannel Pollee Department
Attn: Teresa Anderson
3 Civic Square
Cannel, IN 48032-
3701198
93 -211 FSM
3702098
PLEASE INVOICE IN DUPLICATE
$57.75
$28.90
$81:15
$83.90
$229.07
Sub Total:
$57.75 ; -
$179A0
$488.20
$575.10
$229.07
$1,530.52
DEPARTMENT
Carmel Police Dept.
ACCOUNT
SHIPPING INSTRUCTIONS
PROJECT
• SHIP REPAID.
• C. 0.0. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. '
DOCUMENT CONTROL NO. 26230
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PROJECT ACCOUNT AMOUNT
PAYMENT $1,530.52
• AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO,
NUMBER IS MADE A PART OF THE VOUCI IER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HERESY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER,