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51949 INDIANA NEWSPAPERS INC. INDIANA RETAIL TAX EXEMPT PAGE 1 Ct Io carnaei FEDERAL EXCISE TAX EXEMPT 51949 35-60000972 ONE CMC SQUARE CARMEL,Ill f_=9..'L ,=:S032-2584 THIS NUMBERMUST APPEAR ON VOUCHER,DELIVERY INVOICES, VE YPACKINGMEMO, 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 • 9/19/2018 09/24/18 17694 00350498 AO Newspaper 11/1 -10/31/19 Indiana Newspapers Inc. Administration Office P.O. Box 989+ P.O.Box 742619 1411 E. 116th Street VENDOR Louisville,KY-4029945K Cincinnati,OH 45274-2619 THIP Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION 1.000 each Newspaper subscription AO 11/1/18- 10/31/19 $586.0500 $586.05 GLAccount#1125101-4355200 Send Invoice To: $586.05 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT • A/P 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 CLERK-TREASURER �\ DOCUMENT CONTROL NO. 51949 VENDOR COPY