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101259 MEDIA FACTORY IN ANA TAIL EXEMPT Page 1 of Cit of Carme 1 CERTDIIFICA EENO00310150020 PURCHASE ORDER1NUMBER V Jj FEDERAL EXCISE TAX EXEMPT 101259 City ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 1/9/2018 00351085 SIGNAGE AND PRINTING MEDIA FACTORY Community Relations VENDOR 481 GRADLE DRIVE SHIP 1 Civic Square TO Carmel, IN 46032- CARMEL, IN 46032- PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 22507 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1203 Fund: 101 General Fund Account: 43-590.03 1 Each SIGNAGE AND PRINTING $14,820.00 . $14,820.00 Sub Total $14,820.00 3� 4: G fVq x rt Send Invoice To: Cv Community Relations 1 Civic Square , Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT PAYMENT $14,820.00 SHIPPING INSTRUCTIONS 'NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A *SHIP PREPAID. 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 *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 11/4.44,1ccci AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY O Nancy Heck James Crider TITLE Director Administration CONTROL NO. 101259 CLERK-TREASURER