51886 OMNI CENTER INDIANA RETAIL TAX EXEMPT PAGE 1
cit7 CERTIFICATE NO.003120155 002 0
�� , ' PURCHASE ORDER NUMBER
�! 1 JJJ... ww•�� FEDERAL EXCISE TAX EXEMPT 51886
35-60000972
ONE CMC SQUARE
CARMEL.INDIANA 4SC32-25 4 THIS NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER,DELIVERY MEMO,PACKING SUPS,
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
8/30/2018 09/02/18 17531 00350965 March and April 2018 Park Board Meeting Rebroadcasts
Omni Centre Administration Office
P.O. Box 302 1411 E. 116th Street
VENDOR Carmel, IN 46082-0302 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each March 15-16, 2018 Park Board Meeting Broadcast $285.3300 $285.33
1.000 each April 17& 19,2018 Park Board Meeting Broadcast $ 190.9100 $ 190.91
GLAccount#1125101-4341999
Send Invoice To:
$476.24
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT I 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 THE PROPER SWORN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
▪ I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper {{!!��))
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE �'Y]�
CLERK-TREASURER �J
DOCUMENT CONTROL NO. 51886 VENDOR COPY