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City of � --- -- PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 50395
35-60000972
ONE CMC SQUARE
CARMEL,INDIANA 48032-2584 THIS NUMBER MUST APPEAR CN INVOICES,A/P
VOUCHER DELIVERY MEMO,PACKING SLS'S,
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 ___..._.__
•
9/29/2017 10/02/17 14094 `086700 Park Board Video Tapings Remaining 2017
Espey Hal Administration Office
12030 Castle row Overlook 1411 E. 116th Street
VENDOR Carmel,IN 46033 SHIP Carmel, IN 46032
TO
CONFIRMATION F BLANKET CONTRACT I• _ PAYMENT TERMS FREIGHT .,..?
QUANTITY i UNIT OF MEASURE DESCRIPTION UNIT PRICE
f EXTENSION
4.000 each Sept 2017-Dec 2017 Park Board Video Tapings-One Per $350.0000 $1,400.00
Month for remainder of 2017
GLAccount#1125101-4341999
Send Invoice To:
$1,400.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT 1 __. PROJECT ACCOUNT _.... _....... _ ___. '
-......_.._ _ _. .�_................... __....... 3 AMOUNT
PAYMENT
• AIP 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 UNOBUGATED 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 Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 50395 VENDOR COPY