HomeMy WebLinkAbout38526 Crossroad EngineersJ. Carnie
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEI_ - 1997
PACE I
PURCHASE ORDER NUMBER
38526
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCI•1911, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUVSIION NO I VENDOR NO.
DESCRIPTION
5/14/2015
05/18/15
CrossRoad Engineers, PC
3417 Sherman Drive
VENDOR Beech Grove, IN 46107
CONFIRMATION
5239
SHIP
TO
Land Title Survey
Administration Office
1411 E. 116th Street
Carmel, IN 46032
IILANKSF CONTRACT
PAYMI =NT PERMS FREIGHT
QUANTITY
1.000
Send Invoice To:
UNIT OF MEASURE DESCRIPTION UNIT PRICE
each ALTA /ACSM Land Title Survey
GLAccounll /• 1060000 - 5023990
PLEASE INVOICE IN DUPLICATE
EXTENSION
$ 7,500.0000 $ 7,500.00
$ 7,500.00
DEPARTMENT J ACCOUNT PROJI =CT PROJECT ACCOUNT
AMOUNT
SHIPPING INSTRUCTIONS
•IA 1;1. PAID
• C.D.I) V! IIPMI.N I S CANNOI lir i ED
• 1'URCI iASE ORDER NUMBER MUST APPEAR ON ALL SI ilPI'ING I.ABLLS.
Ti ITS ORDER ISSUED IN COMPLIANCE WI II i CH AID l) 99, ACTS 1945
AND iTI IS AMENDATORY 'HEREOF 1 AND SUI'P I_I°MI? NI MERE I O_
DOCUMENT CONTROL NO. 38526
PAYMENT
• NP VOUCHER CANNOT NE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
PART 09 THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
AFFIDAVIT All ACH E_D.
. I IIEREI3Y CERTIFY -TFIAI THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
SUFFICIENT TO PAY FOR THE ABOVE ORDER.
ORDERED BY Dawn Koepper
MILE
CLERK - TREASURER