37906 Duncan Video Inc INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0
o t
arm el e - - PURCHASE ORDER NUMBER
1 FEDERAL EXCISE TAX EXEMPT 37906
35-60000972
T1115 NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER.DELIVERY MEMO,PACKING SLIPS.
SI SPRING 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
12116/2014 12/20/14 3770 Remaining Order-Microphones&Mixers for Park Board
Duncan Video Inc. Administration Office
702 Adams Street 1411 E. 116th Street
VENDOR Carmel, IN 46032 TOHIP Carmel, IN 46032
CONI'IRMALION Ii1-ANKET CONIRACI PAYMENT TERMS FREIGTIT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each Microphones& Mixers $ 2,730.0000 $2,730.00
GLAccount#;11 C6-4464000
Send Invoice To:
$2,730.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
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 711E PROPER SWORN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• Si 111'REPAID- SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.0.0 SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMIII1H MUSI APPEAR ON AIJ..SHIPPING LABELS. ORDERED BY Dawn Koepper 2 t AI(4(I4
• THIS ORDER ISSUED IN COMPLIANCE"WITH CHAPTER 99.ACTS 1945
AND ACTS AMENDATORY II11=8110!'AND SUPPLEMEN-I THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 37906 '°EfI-