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INDIANA RETAIL TAX EXEMPT
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CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER 1
FEDERAL EXCISE TAX EXEMPT 29596 1
35.60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL,INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE,
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
4/1/13 N/A Q8(70O Park Board Video Taping
Hal Espey AO
VENDOR 1 2 030 as lei "ZpvAl0VtriQOk SHIP
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APR 0 1 2013
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
9 EA Two Monthly Tapings April - December 2013 $250.00 $4,500.00
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Send Invoice To; 1.',,t: `..,--~I`
$4,500.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
1125-1-04-4341999-Other Professional 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 IN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIATION SUFFICIENT 10 PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY Michael Klitzing - DKy,/
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL �`�-+` ( 9)1/1---5
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ''• Alit _,-...."--
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. III Apr'
29596 CLERK-TREASURER
DOCUMENT CONTROL NO. VENDOR COPY