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City
€ f Carmel 1CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100372
ONE CIVIC SQUARE I 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL,INDIANA 46032-2584 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
4/18/2017 00351256
UNITED CONSULTING Dept of Community Service
VENDOR 1625 N POST ROAD SHIP 1 Civic Square
TO Carmel,IN 46032-
INDIANAPOLIS,IN 46219-
PURCHASE ID BLANKET 1 CONTRACT PAYMENT TERMS
FREIGHT
14666
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE XE TENSION
Department: 1192 Fund: 101 General Fund
Account: 43-419.99
1 Each Consulting, Engineering, Land Surveying $8,500.00 $8,500.00
Sub Total $8,500.00
Send Invoice To:
Dept of Community Service
1 Civic Square
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT -- PROJECT I PROJECT ACCOUNT f AMOUNT
PAYMENT $8,500.00
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL ,,
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 794,2 '
„ se,eQ t"
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY Mike Hollibaugh Douglas Haney \1
TITLE Director Corporation Counsel c\,(P\
CONTROL NO. 100372 CLERK-TREASURER \`