HomeMy WebLinkAbout38964 Diversified Business Systems INDIANA RETAIL TAX EXEMPT PAGE 1
. . f+ � Carmel CERTIFICATE NO.003120155 002 0 lO PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 38964
35-60000972
01,1E Cr/IC'SQUARE
>ii_I''• ' THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
8/17/2015 08/22/15 6349 Annual Report 2014
Diversified Business Systems I MCC- East
8200 Haverstick Rd. Ste 260 1235 Central Park Drive East
VENDOR Indianapolis, IN 46240 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1,000.000 each Trim/fold/saddle stitch 8 3/8"x 10 7/8", 80#gloss coated text $0.6915 $691.50
white, 1/8" bleeds on all sides, final pdf(w/bleeds, crops, etc.):
9.21"x11.71", 8 pages self-cover 4/4 process
GLAccount# 1125200-4345000
Send Invoice To:
$691.50
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
• A/P 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Cassie Streeter 1 M Li)IS
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 38964 VENDOR COPY