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37721 WFYI TVCity of Carmel INDIANA RETAIL TAX EXEMPT CERTIFICATE NO. 003120155 002 0 FEDERAL EXCISE TAX EXEMPT 35- 60000972 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997 PAGE 1 PURCHASE ORDER NUMBER 37721 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 10/23/2014 10/26/14 3243 Video footage for banner unveiling WFYI TV / FYI Productions 1630 North Meridian Street VENDOR Indianapolis, IN 46202 SHIP TO MCC - East 1235 Central Park Drive East Carmel, IN 46032 CONFIRMATION BLANKET CON I RACY PAYMENT TERMS FREIGHT QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 1.000 each Broil of Banner Unveiling GLAccount# 1125200- 4239039 Send Invoice To: PLEASE INVOICE IN DUPLICATE $ 400.0000 $ 400.00 $ 400.00 DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT SHIPPING INSTRUCTIONS • SHIP REPAID. C.O D SHIPMENTS CANNOT BE ACCEPTED. • PURCHASE ORDER NUMBER MUST APPEAR ON ALI, SHIPPING LABELS. • THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 AND ACTS AMENDA IORY THEREOF AND SUPPLEMENT THERETO. 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 AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. ORDERED BY Lindsay Labas TITLE CLERK - TREASURER DOCUMENT CONTROL NO. 37721 VENDOR COPY