— ; Y4s Purchase. Order Northern Illinois University Purchase Order 102343 Page 7 Procurement Services Date 12/18/2008 Lowden Hall 107 Revision 590 College Ave Wo Payment Terms Net 30 Dekalb IL 60115 Ue Freight Terms Origin, Prepay & Add Shipping United States 815/753-1671 Ship To: See Below for Further Details ADIDAS AMERICA INC Bill To: Northern Illinois University ATTN: TEAM CUSTOMER SERVICE/ACCT #53720 General Accounting 5675 N BLACKSTOCK RO Lowden Hall 204 SPARTANBURG SC 29303 Dekalb IL 60115 Fax: 815/753-2007 [Line “item/Description e Quantity UOM___ Unit Price Extended Due Date | 1 Apparel for Dec 2008 Indpendence Bowl Game 1.00 LOT 109,000.00 10,000.00 12/19/2008 in Shreveport LA - NIU ACCTH 53720-001 SHIP TO: Sports World Attn: Bennie Thornell £8809 Jewella Ave Shreveport LA 71108, Total PO Amount [10,000.00] ~2o1,.26 - ~ —44e 80 SS sev plewu copiers oie ® joe Dept: Intercollegiate Athletics : f Requester: Sheila Berg 753-9541 ~ Boe -16 Entered by: Daksha Pate! 753-9482 TSHAOV tyreel bl [Al shipments, shipping papers, invoices, and correspondence must be niiied wih ow Purchase Order Number. Any Shipments wihout the Purchase Order Number may be rejected. Overshipments vil not be accopted unless authorized by Buyer prior to shipment ‘This purchase orders subject o al applicable tinos and Federal statutes and regulations, including the linois Procurement Code and the Higher Education Procurement Rules, and al applicable regulations and procedures of Norther linois University, Please contact NIU-Procurement Services for copies if needed, ‘Vendor corties that tis not delinquent inthe payment of any debt othe State, or cetiies tha the vendor has entered into a deferred payment ano pay of he det, n accordance wih lls Procurement Code (90 LCS £0080-11) ae : ‘Authorized Signature Cartels (und, cost en, cass projeclran, account, total for each) 41 TOs4e2OSF nha eo0105 100000 Buyer’ May, Rebecca Location: SEEABOVE Seo Above or Futhor Daft) [YOY Otgn: INTERCOLLEGIATE ATHLETICS POType: LSTD [ AXE POR Chi iu Fen IL Tax Exempt £9090-0001-05