29273 SESAC, Inc. CityINDIANA RETAIL TAX EXEMPT PAGE
of Carmel CERTIFICATE NO.003120155 002 0 GILD R U
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 29273
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 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
12/14/12 Contract Performer License for Local Government
SESAC, Inc. AO RECFTvED
55 Music Square East SHIP DEC 17 2012
VENDOR Nashville, IN 37203-4399
TO
BY:
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE 1 DESCRIPTION UNIT PRICE EXTENSION
1 EA One Year Performer License - 12/1/2012-11/30/2013 • 911760 $ O'IE0
JJ 1, B /, CY;,J,0 0
Send Invoice To
Jul, C(r.;2.CO I v
-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1125-1-01-4358300-Licensing Fees 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 AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS/N UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT 10 PAY FOR THE ABOVE ORDER.
•SHIP REPAID. ///'''��� 'I
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED, Michael Klitzing - DK 1 +L'I'I
IZ
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY '1 111
SHIPPING LABELS. I
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE I i"1 ii L_
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
29273 CLERK-TREASURER
DOCUMENT CONTROL NO. VENDOR COPY