32187 Media FactoryCity 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
32187
THIS NUMBER MUST APPEAR ON INVOICES, dP
VOUCHER, DELIVERY MEMO, PACKING tSLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
12/10/2014
mediafactory
VENDOR
481 Gradle Drive
Carmel, IN 46032
SHIP
TO
DOCS Department
1 Civic Square
Carmel, IN 46032
(317) 571-2418
JJ '
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43- 450.02
1 Each Misc. Printing
Send Invoice To:
DOCS Department
1 Civic Square,
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
$1,732.28 $1,732.28
Sub Total: $1,732.28
DEPARTMENT
1192 DOCS
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.
DOCUMENT CONTROL NO. 32187
PAYMENT
$1,732.28
. • NP 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 UNO�LIGATED BALANCE IN
THIS APPROLIRIATIONSUFFICIENT TO PAY, FOR THE ABOVE ORDER, ' "
ORDERED BY
TITLE
CLERK - TREASURER
A.P.V. COPY .iSIGN AND
/ -Director-7
RETURN TO CLERK'S OFFICE