HomeMy WebLinkAbout33201 MediafactoryCi
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
33201 •
THIS NUMBER MUST APPEAR ON INVOICES, AP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
10/14/2015
Mediafactory
VENDOR
481 Qradlo Dr
Carmel, IN 48082
SHIP
TO
Carmel Police Department
3 Civic Square
Carmel, IN 48032
(317) 571-2559
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43-450.01
1 Each Quote # 181585
Send Invoice To:
Cannel.Police Department
Attn: Pat Young
3 Civic Square
Carmel, IN 48032-
CPD/Hamilton. County Case $187.01
Forms
PLEASE INVOICE IN DUPLICATE
Sub Total:
'$187.01
$187.01
DEPARTMENT
Carmel Police Dept.
ACCOUNT
PROJECT
PROJECT ACCOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C D. 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. 33201
ORDERED BY
TITLE
CLERK -TREASURER
OFFICE COPY
PAYMENT
• AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY
AT
RE S AN
BALANCE IN
THIS APRORIATTIIOyHSSUFFFICIENT TO PAYFOR THE DABOVE ORDER.
AMOUNT
S187S1
of of Pollee