36535 Hal Espy 7 f� *^y^y / CERTIFICATE LATE AIIL00 0X55 0 2 0 PAGE 1
Dit io f Carmel r 1 1 1 [mil PURCHASE ORDER NUMBER
I ���/// i 111 11111 FEDERAL EXCISE TAX EXEMPT 36535
35-60000972
- .•i.L,'�,_�-ii- -]' _- THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
1/16/2014 01/18/14 316 08/_700 Park Board Video Tapings 2014
Espey Hal (�� Administration Office
12030 Castle row Overlook - 1411 E. 116th Street
VENDOR Carmel, IN 46033 • - SHIP Carmel, IN 46032
TO
JAN I6Zia
CONFIRMATION BLANKET CONTRACT - PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
24.000 each 2014 Park Board Video Tapings -Two Per Month $ 250.00 $6,000.00
GLAccount# 1125101-4341999
Send Invoice To:
$ 6,000.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATEO BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koe er '/
PP �Lll•c 'h O LiAft I� III 6. I
THIS ACTS AIENDTINY THEREOF AWITHPPLEMEN9T, ERETO.45 ACTS•
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 36535 -Ni.;nR GOP'.'