aa Purchase Order Northern Illinois University Purchase Order 403189 ~—~—~——-Paga 7 Procurement Services Date 0272009 Lowden Hall 107 oO Revision 590 Colloge Ave Oo Payment Terms Net Check Enclosed Dekalb IL 60115 5 Freight Terms Origin, Propay & Add Shipping United States, 815/759-1671 Ship To: Northern itinois Unversity Central Receiving INDEPENDENCE BOWL FOUNDATION Dorland Bidg PO BOX 1723 180 Stadium Dr SHREVEPORT LA 71168 Dekalb IL 60115-2854 BIlITo: Norther tlinois University General Accounting Llowiden Hall 204 Dekalb IL 60115 Fax: 815/759-2007 (ine iem/Descrption — Quanity —UOM Unit Price Ewtended Due Date ] 1 Reimbursement for buses used by NIU for 1.00 LoT 26,958.90 26,958.90 02/20/2009 the 2008 Independence Bow, Total PO Amount 26,958.90 NET CHECK ENCLOSED INV. 880 dated 2/2/2009. VENDOR ALERT: Public Act 95-0971 requires all vendors who do $50,000.00 worth of business annually with the State Of Ilincis, including state universities, to register with the State Board of Elections, www.elections.. gov ‘submit a copy of thelr Registration Certificate to the Chief Procurement Orficer for Higher Education by FAX to (217)289-6788; and submit a copy of their Registration Certiticate with each response to any formal competitive Solicitation. For more information refer to the Act available at, wen ilga gov/legislation/publicacts/tulltext.asp?Name=095-097 1&GA=095, and the State Board of Elections website, noted above, for more specific information on whether yoy are required to register or not. NIU INTERNAL COMMENTS: Al shipments, shipping papers, invoices, and correspondence must be ieniied wit our Purchase Order Number. Any Shipments withoa the Purchase (Order Number may be rejected. Overshipments wal not be accepted unis authorized by Buyer peor to shipment This purchase orde is subjet oa applicable iis and Federal statutes and regulations, ineluting te Iii Procuement Code andthe Higher Etlucation Procurement ules, and all applicable regulations and procedures of Northern Winois Uriversiy, Please contact NIU- Procurement Services for copies it needed, ‘Vendor cores thats not deinquent inthe payment of any debt tothe Stato, o certifies thatthe vendor has ented ino a deterred payment plan to payoff the deb, in accordance with the lines Procurement Coe (20 LCS 500150-1 1) futorzd signature Chart (tnd cost ct cls, role A Tosser 20800 Osaks Ufo Biyor’~ pats, Wesley Location: 8208 Atlee Business Oper 4 b4 OrgnNTERCOULEOMTE ATHUETCS a)’ Pore: 1st Pore: som MUFENN: 20000 1 Tax xeng Eno 00.08 :