25437 Child Source City o f Carmel RTIFICARETAIL
003120155 EXEMPT
15500 PAGE
City 1L llll 11�,/ CERTIFICATE N0.003120155 002 0
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, PACKNG 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
1017!2013
Child Source* Carmel Police Department
vENDOR 'tam Reserve Distributing, Inc. SHIP 3 Civic Square
TO
P.O1, Box 73714 Carmel, IN 46032
Cleveland, OH 44193 (317)571-2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00-550.05
1 Each shipping $127.95 $127.95
1 Each On Board35 Infant Car Seat IC088FSM $77.40 $1740
8 Each High Back Booster Front Adj ?D $47.20 $377.80
8 Each Titan 5 Carseat 40. i.70 8 $57.75 $482.00
®F AA Sub Total; $1,044.95•tAC fr,
, :'4 i a;4 r**6*******60;00
Send Invoice To:
Cannel Pollee Department
Attn: Teresa Anderson
3 Civic Square
Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. aC.TS PAYMENT $1,044.95
��JJ • NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OE THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS TR PROPER SWORN AF IOAVITAITACHED.
SHIPPING INSTRUCTIONS • IT HEREBY CE F HATTHERE IS UNOBLIGATEC BALANCE INE
• SHIP REPAID. h115 APPR ON SUFFI TTO PAY FOR THE ADOVE ORDER.
•C.OD.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WDH CHAPTER 99.ACTS 1945 TITLE hlof of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO,
25437
"CLERK-TREASURER
DOCUMENT CONTROL NO. • OFFICE COPY