29272 Broadcast Music Inc. 4 INDIANA RETAIL TAX EXEMPT PAGE
0 C � CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
C X11 FEDERAL EXCISE TAX EXEMPT 29272
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES.A/P
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
12/14/12 Contract Music License for Local Government
Broadcast Music, Inc. AO _
10 Music Square East SHIP FC 1\7I,D
VENDOR Nashville, IN 37203-4399 TO DEC 17 2012
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION I UNIT PRICE EXTENSION
1 EA One Year Music License - 12/13/2012-12/12/2013 $766.00 $766.00
Send Invoice To: -
$766.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1125-1-01-4358300-Licensing Fees PAYMENT
• A/P VOUCHER CANNOT BE APPROVID 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 UNOBUGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT 10 PAY FOR THE ABOVE ORDER.
•SHIP REPAID, �/
•COD.SHIPMENTS CANNOT BEACCEPTED. Michael Klitzing - DK
ORDERED BY .li-;:nk2��.>.L 1Z I\`I1
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE --
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
29272 CLERK-TREASURER
DOCUMENT CONTROL NO. VENDOR COPY