36579 Pitney Bowes (+ ///''''yy� INDIANA RETAIL TAX EXEMPT PAGE 1
Cit 7 ^ .L � rt riii �l CERTIFICATE NO.003120155 002 0
IIl4.�J �) IL - Il 1l—.' PURCHASE ORDER NUMBER
1 FEDERAL EXCISE TAX EXEMPT 36579
35-60000972
COIC
THIS NUMBER MUST APPEAR ON INVOICES,NP
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
1/27/2014 02/01/14 444 22/11000 Postage Meter Lease Rental-Quarterly
Pitney Bowes Administration Office
P.O. Box 371887 1411 E. 116th Street
VENDOR Pittsburgh, PA 15250-7887 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each Quarterly Meter Rental Lease-2/11/14-5/10/14 $ 132.00 $ 132.00
1.000 each Quarterly Meter Rental Lease-5/11/14-8/10/14 $ 132.00 $ 132.00
1.000 each Quarterly Meter Rental Lease -8/11/14-11/10/14 $ 132.00 $ 132.00
GLAccount# 1125101-4353003
Send Invoice To:
$ 396.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT ] AMOUNT
PAYMENT
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MADE A
RECF.,TVFI� PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. JAN 2 8 2014 SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. ono SHIPMENTS CANNOT BE ACCEPTED G/ J
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING - ORDE ED BY Dawn Koepper tl � , �D'�r) �'D! � J/..3 7/P/
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACT - •��--
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 36579 ANGCFi COPY