101331 DUNCAN VIDEO INC ity
INDIANA RETAIL TAX EXEMPT Page 1 of 1
CERTIFICATE NO.003120155 002 0
PURCHASE 101331
UMBER
FEDERAL EXCISE TAX EXEMPT
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING 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
1/29/2018 00350601
DUNCAN VIDEO INC General Administration
VENDOR 7796 MOLLER ROAD SHIP 1 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46268-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
22932
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1205 . Fund: 101 General Fund
Account: 43-501.00
1 Each Bldg Repairs and Maintenance $2,858.00 $2,858.00
Sub Total $2,858.00
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Send Invoice To: -
Dept of Administration
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1 Civic Square
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $2,858.00
SHIPPING INSTRUCTIONS 'AlP 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
*SHIP PREPAID. 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 --0 4.„�
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO,
James Crider
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TITLE Administration
CONTROL NO. 101331 CLERK-TREASURER