31722 Omni Centre for Public Media City (//�y� INDIANA RETAIL TAX EXEMPT PAGE
�\ i II y of Carmel armel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
psi lL \�/ �a FEDERAL EXCISE TAX EXEMPT 317 fl 2
35-60000972
ONE CIVIC SQUARE 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
1/3/2014"
Omni Centre for Public Media SHIP City of Carmel
VENDOR 13316 Brookshire Parkway To Dept. of Community Relatiopas&
P. 0. Box 302 Economic Development
Carmel, IN 46082 One Civic Square
Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
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QUANTITY UNIT OF MEASURE DESCRIPTION - UNIT PRICE EXTENSION
,rt At*: 76, ,4w.,
2044 Professional Services - Equipment Maintenance Conttacts $28,000 .00
Per Contaact #11.05 .08 . 04
0 0 Off. _ _ .,...,4%....
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Send Invoice To: rAr °�!.-.—,t j Ail
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1203/4351501 JlyI/'• J III $28 ,000 .00
,. .
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
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 AN UNOBLIGATEO BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• SHIP REPAID. '
•CO.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY ' a' ' ihaziU' •
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ' I" `—� /A/: 4140 4d Wm-0•
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. /
CLERK-TREASURER
DOCUMENT CONTROL NO. 31742' OFFICE COPY