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CERTIFICATE NO.003101 50020 PURCHASE ODER NUMBER
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FEDERAL EXCISE TAX EXEMPT 33753
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AY
CARMEL,INDIANA 46032-2584 VOUCHER,DEUVERY MEMO,PACKING SUPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
5/5/2016 068025 ASA tt5-Project 16-ENG-56;Contract Date 03.16.16
CROSSROAD ENGINEERS, PC City Engineering's Office
VENDOR 3417 S SHERMAN DR SHIP 1 Civic Square
TO Carmel,IN 46032-
BEECH GROVE,IN 46107- Kate Lustig
PURCHASE ID ( BLANKET CONTRACT PAYMENT TERMS FREIGHT
4808
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2200 Account: 43-401.00 Fund:201 Motor Vehicle Highway
1 Each 2016 On-Call Engineering and Inspection Services $30,000.00 $30,000.00
Sub Total $30,000.00
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Increase 1=Xi si•e"%9 P.O.
7 0,.10
to
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Send Invoice To: r' -......Mite •=`�-:frt :7;'':,
:
City Engineering's Office
Kate Lustig
1 Civic Square •%.1% ,...Ififtt 1 i.,..1,,i..,je,,ve.t14111. -. :4'
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $30,000.00
SHIPPING INSTRUCTIONS 'AN VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MADE A
'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBUGATED BALANCE IN
'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON AU.SHIPPING LABEL i . ,-
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
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