HomeMy WebLinkAbout38919 S E H Inc INDIANA RETAIL TAX EXEMPT PAGE 1
: It . : . . CERTIFICATE NO 003120155 002 0
C y 0 '' � i FEDERAL EXCISE TAX EXEMPT PURCHASE ORDER NUMBER
35-60000972 38919
•C;i4_cIV1C.SOUAR€
CA.4MEL.INDIAI1 ^C,32-2c34 THIS NUMBER MUST APPEAR ON INVOICES,AJP
VOUCHER,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 REQUISITION NO, VENDOR NO. DESCRIPTION
8/7/2015 08/11/15 6252 West Park Master Plan Update
S.E.H. Inc. (Short-Elliott-Hen Administration Office
3535 Vadnais Center Dr 1411 E. 116th Street
VENDOR St.Paul, MN 5510 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
$ 1.0000 each Professional Services Per Contract 99,750.000 $99,750.00
$ 1.0000 each NTE Reimbursables 10,000.000 $ 10,000.00
GLAccount# 1060000-5023990
Send Invoice To:
$ 109,750.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT
• NP 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
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper ' x x'0 N._ $1-t\IS.
•- THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99.ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 38919 VENDOR COPY