HomeMy WebLinkAboutIndy Polkamotion Robert Klemen/CRED/$2,500/Performance Agreement - Entertainment for Carmel OktoberfestCzTfshfzHsfdivlijobu2;67qn-Tfq25-3133
DocuSign Envelope ID: 5642928D-5E46-45C0-98D6-83D681323032
DocuSign Envelope ID: 5642928D-5E46-45C0-98D6-83D681323032
9/21/2022
9/21/2022
9/21/2022
9/21/2022
Exhibit A
Indy Polkamotion INVOICE10970HaigPointDr
Fishers, Indiana 46037
robertklemen@sbcglobal.net
www.indypolkamotion.com InvoiceNo: 0002Cell: 317.373.7508
Invoice Date:25May2022
DueDate:22Sep2022
BILLINGSENTTOCLIENT:
City ofCarmel IndianaCompanyName:
MegGates-Osborne(MEG & Associates) P.O.C.:
Carmel City Center -Veterans WyAddress
9875 Lakewood DrE, Indianapolis, IN46280)
Carmel, IN46032City, State, Zip
317-590-7522TelephoneNo:
https://megpromo.com/ Website:
DESCRIPTIONDAYSCOST PER DAYAMOUNT
Carmel Oktoberfest 1$2500.00$2500.00Friday, September 30, 2022
Note1: Price includes band
performance andsound.
Note2: Payment in full is required 7
business days prior to the event
Tax (if applicable)
TOTAL$2500.00
Please make all checks payable to Robert Klemen
Thank you for your Business!
FRM-070_Invoice 18Feb2021 Rev 0 Approved By: Robert Klemen
DocuSign Envelope ID: 5642928D-5E46-45C0-98D6-83D681323032
Page 1 of 1INDIANARETAILTAXEXEMPT
PURCHASE ORDER NUMBERCERTIFICATENO. 003120155 002 0CityofCarmel
FEDERAL EXCISE TAX EXEMPT 106678
35-6000972 THIS NUMBER MUST APPEAR ON INVOICES, A/PONECIVICSQUARE
VOUCHER, DELIVERY MEMO, PACKING SLIPS, CARMEL, INDIANA 46032-2584 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
ENTERTAINMENT FOR OKTOBERFEST EVENT7/14/2022376621
ROBERT KLEMEN COMMUNITY RELATIONS
VENDORSHIP10979HAIGPOINTDRIVE 1 CIVIC SQ
TO Carmel, IN 46032-
FISHERS, IN 46037 -
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
67207
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund: 1203101General Fund
Account: 43-590.03
Each1ENTERTAINMENT FOR OKTOBERFEST EVENT$2,500.00$2,500.00
Sub Total 2,500.00
Send Invoice To:
COMMUNITY RELATIONS
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
2,500.00PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE ASHIPPINGINSTRUCTIONSPARTOFTHEVOUCHERANDEVERYINVOICEANDVOUCHERHASTHEPROPERSWORN
SHIP PREPAID. AFFIDAVIT ATTACHED. IHEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
C.O.D. SHIPMENT CANNOT BE ACCEPTED.THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
ORDERED BYANDACTSAMENDATORYTHEREOFANDSUPPLEMENTTHERETO.
Nancy Heck
TITLEDirector
CONTROL NO. 106678 CONTROLLER
DocuSign Envelope ID: 5642928D-5E46-45C0-98D6-83D681323032