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102224 MEDIA FACTORY v INDIANA RETAIL TAX EXEMPT Page 1 of 1 ci .1tC1t37 of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 102224 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP 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 12/5/2018 00351085 Hard Hat Stickers MEDIA FACTORY Dept of Community Service VENDOR 481 GRADLE DRIVE SHIP 1.Civic Square TO Carmel, IN 46032- CARMEL, IN 46032- PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 31682 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1192 Fund: 101 General Fund Account: 43-450.02 1 Each Misc. printing $109.00 $109.00 Sub Total $109.00 d>i i'. 1 Y Y v k'w F :ire J '-, .r"v mom`` �.9 �. k�'" 1 r F k; A i Send Invoice To: A )-. zt Dept of Community ServiceF 1 Civic Square Carmel, IN 46032- ,,,, PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT 9 PROJECT ACCOUNT 1 AMOUNT PAYMENT $109.00 SHIPPING INSTRUCTIONS 'NP 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--e-5-' 'Xe AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY `� Mike Hollibaugh , 1 TITLE Director \ CONTROL NO. 102224 CLERK-TREASURER