HomeMy WebLinkAbout38158 Alt & Witzig Engineering Inc INDIANA RETAIL TAX EXEMPT PAGE 1
ot a r n CERTIFICATE NO.0031201 55 002 0 _ PURCHASE ORDER NUM ER
FEDERAL EXCISE TAX EXEMPT 38158
35-60000972
FllS NUMBER MUST'APPEAR ON INVOICES,NP
VOUCIILR,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 TREQUISITION NO. VENDOR NO DESCRIPTION
3(412015 03108/15 4398 Phase I Environmental Assessment Update-Sunrise Golf
Course Properly
Ali&Witzig Engineering Inc. Administration Office
4105 West 99th Street 1411 E. 116th Street
VENDOR Carmel, IN 46032 SHIP Carmel, IN 46032
CONEI RMATION BLANKET CONTRACT PAYMENT BERMS FREIGHT
QUANTITY I UNIT OE MEASURE 1 DESCRIPTION I UNIT PRICE f EXTENSION
1.000 each Environmental Assessment Update $825.0000 $ 825.00
GLAccounttl 1125101-4341999
Send Invoice To:
$825.00
PLEASE INVOICE IN DUPLICATE
Ill_PAR'I MI=NT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT _----
PAYMENT
• AIP 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED
. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SI TIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O D SIIIPMENI S CANNOT BE ACCL-I'I EI).
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING IAI3I;I.S, ORDERED BY Dawn Koepper( Zia, p`"�N V-A IC
TI1IS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 `��
AND ACTS AMENDATORY Il1[3REOE AND SUPPLEMENT l!IERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 38158 t.