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102260 MEDIA FACTORY INDIANA RETAIL TAX EXEMPT Page 1 of 1 C.1 of Carnlel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 102260 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 12/6/2018 00351085 UDO printing,misc stickers for B&C 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 31764 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1192 Fund: 101 General Fund Account: 42-300.00 1 Each Misc. printing $1,925.00 $1,925.00 Sub Total $1,925.00 Account: 43-450.02 1 Each Misc. printing $1,244.43 $1,244.43 _ . SubTotal $1;244.43 ,-. � a g � Send Invoice To: ___. . Dept of Community Service 1 Civic Square , 4 ; Carmel, IN 46032 • PLEASE INVOICE IN DUPLICATE DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT PAYMENT $3,169.43 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 l 9 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY Mike Hollibaugh TITLE Director Q CONTROL NO. 102260 CLERK-TREASURER \\