HomeMy WebLinkAbout52374 OMNI CENTER INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
C i ;4 f C"„� , !
PURCHASE ORDER NUMBER
`f ;;(( FEDERAL EXCISE TAX EXEMPT 52374
35-60000972
OWE CIVIC SQUARE
CARMEL,IIVDI IA 4€G32-2514 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
1/25/2019 01/29/19 18710 00350965 Sep-Dec 2018 Park Board Meeting Rebroadcasts
Omni Centre Administration Office
P.O. Box 302 1411 E. 116th Street
VENDOR Carmel, IN 46082-0302 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each Sept 11,2018 and October 9,2018 Park Board Meeting $534.0000 $534.00
Broadcast
1.000 each November 13,2018 Park Board Meeting Broadcast $450.9200 $450.92
1.000 each Dec 11,2018 Park Board Meeting Broadcast $ 137.1200 $ 137.12
GLAccount#1125101-4341999
Send Invoice To:
$ 1,122.04
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
• AM 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 Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ���}}}���
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE ��J\
CLERK-TREASURER \
DOCUMENT CONTROL NO. 52374 VENDOR COPY