32387 Main Street Media/Tricia ReynoldsCi
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
32387
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
'REQUISITION NO.
VENDOR NO.
DESCRIPTION
9/11/2014
.
VENDOR
Tricia Reynolds
Main Street Media LLC
13854 Ninebark Ct.
Carmel, IN 46033
SHIP
TO
City of Carmel
Dept. of Community Relations &
Economic Development
One Civic Square
Carmel, IN 46032
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
For Professional Services: City of Carmel Storm Water Awareness $2,500.00
and Education Campaign
Send Invoice To:
1203/4341999
PLEASE INVOICE IN DUPLICATE
$2,500.00
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.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.
ORDERED BY
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 AS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY ERTI'F�YTHAT THERE IS AN UNO§CIGATED BALANCE IN
THIS AP,SCP911 6 SUFFICIENT TO PAY OR THE ABOVE ORDER.
tom'
TITLE
DOCUMENT CONTROL NO. 32387 CLERK OFFICE C COPYR
E COPY