a Purchase Order 4 125 orem Illinois University Purchase Order 102952 Page 1 Procurement Services Date 01/30/2009 Lowden Hall 107 Revision 590 College Ave Dekalb It 60115 United States Y42s Payment Terms Net Check Enclosed _Freight Terms __No Delivery or Pick Up 815/753-1671 Ship To: No Delivery Required IL B95 WDKB-FM 2201 N 1ST ST STE 95, Bill To: Northern Illinois University DEKALB IL 60115 General Accounting Lowden Hall 204 DeKalb IL 60115, Fax: 815/753-2007 (ine temiDeseripton Quanily UM Unit Price — Extended Due Date ] 1 Broadcasting for the Independence Bowl 1.00 LOT 700.00 700.00 01/30/2008 Total PO Amount 700.00 NET CHECK ENCLOSED - Per Invoice #830-00002-0000 dated 12/31/2008, VENDOR ALERT: Public Act 95-0971 requires all vendors who do $50,000.00 worth of business annually with the State of Illinois, including state universities, to register with the State Board of Elections, www.elections.i, gov; submit a copy of their Registration Certificate to the Chief Procurement Officer for Higher Education by FAX to (217)239-6788; and submit a copy of their Registration Certificate with each response to any formal competitive solicitation. For more information refer to the Act available at, wwww.ilga.gov/legislation/publicacts/Tulltoxt. asp?Name=095-097 1&GA=09S, and the State Board of Elections website, oted above, for more specific information on whether you are required to register or not NIU INTERNAL COMMENTS: Entered by: Marzena Szmydt-Bac, 753-9542 Approved by: Sheila Berg ‘Al shipments, shipping papers, invoices, and corespondence must be ioniiiod with our Purchase Order Number. Any Shiamants without the Purchase (Order Number may be rejected. Overshipenens will not be accepted urtoss authorized by Buyer prior o shipment ‘This purchase order is subject to all applicable Minos and Federal statutes and reguatons, including the Winois Procurement Code and the Higher cation Procurement Rules, and al applicable regulations and procedures of Norhem linois Unvorsiy. Please contact NIU. Procurement Services for ‘copies i needed. Vendor certifies that itis not delinquent in the payment of any debt to the Stale, or certtos thatthe vendor has entered int a deferted payment Jan to pay of the db, in accordanco wih ho linis Procurement Code (20 LCS $00/50-11), ‘Authorized Signature CChartields (fund, cost ent, class, projectgrant, account, total $ for each) 41 TO56482 | O5F nia 685510 700.00 Buyer jacleda/Brent oe | Location: RECEIVED No Detvery Required Origin: INTERCOLLEGIATE ATHLETICS POType: STD PO Ret: DEPT REF #4725 NIU FEIN: 366006480 Tax Exempt E9990-9601-05