HomeMy WebLinkAbout31845 Crossroad Engineersof Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
31895
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
"V.
11 /0.111`} .�.
CrestQoad Er,g'1.,eerc, P.C.
VENDOR 3 l S0L.L.-t-N S herrn
phut-
Beech Grove) I N 4lo 103
SHIP
TO
•cJ'ine tr., .
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
G?D(O £4 L[(p23oo
it 9 tfL-/(.PL3o0
Send Invoice To:
En 61»eer,r g
g? 0-0
PLEASE INVOICE IN DUPLICATE
Asp, -43-12-
Corn -Mac.+
Dale : 5/1/13
2014 Drctnctge Plan
Rev, ew
NTE: 438,000`
uce
$ 8,3(:)1-1.3"3/4 &orn
P.O. 252bb
RLI1192300
IL to , b 59.39 .(v OFr
R o. 2 52 (0 (o
pi-14(02300
X23,038.2-1
R4y(02000
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
1 DOCUMENT CONTROL NO. 31845
ORDERED BY
TITLE
CLERK - TREASURER
OFFICE COPY
PAYMENT
• MP 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 AFFIDAVIT ATTACHED.
• I HEREBY CERTI7JTHAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRItTT(�I•$ WCIENT TO PAYJOR THE ABOVE ORDER.