25549 Child Source jf' r IN DIANA RETAIL TAX EXEMPT PAGE
I' CERTIFICATE NO.003120155 002 0
C/ of Carmel PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
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
?URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
9292
Child 8ourco Camiol Pollco Department
VENDOR SHIP 3 Civic Squaro
TO
7901 Woostor Plle Carpool, IN 46
Modlna, OH 44256 (397)571
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE r DESCRIPTION UNIT PRICE EXTENSION
Account 0058U.08
1 Each shipping charges $43.85 $43.85
. . 2 Each Voyager Highback 93-211FSM $29.90 $59.80
4 Each Than 5 Carseat 50th 1 ' $57.75 $231.00
Sub Total: $334.85
0 ,- - oF CA- IP" -4P),49.-AW,A01/4,1,400.,
.00/4,,,,,,,,/ ' ,.„..' ..W ilk
' ,,f • IA - e Nom, ,
1 :0 k4 .
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1 1 * : a #1■411. =I : * 1
Q0 °Rri Send Invoice To: * __., .
Cannel Police Department
Attn:Tense Andorson
3 Civic Squaro
Carmel, IN 40032= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. c_-`. PAYMENT $334.65
• NP 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.
I HEREBY CERTIFY TH�A HERE IS AN UNOBLIGATED BALANCE IN
SHIPPING INSTRUCTIONS • THIS APPROP IATIO SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY 1/ .Chid q
SHIPPING LABELS. eyh I�of Pollee
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
IA .. '25549 .
CLERK-TREASURER
DOCUMENT CONTROL NO. OFFICE COPY
I