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of (( Iirinrie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
City \ FEDERAL EXCISE TAX EXEMPT 100409
ONE CIVIC SQUARE 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
5/2/2017 371135 Phase II ESA for 20-40 1st Ave NE
METRIC ENVIRONMENTAL Redevelopment Commission
VENDOR 6971 HILLSDALE COURT SHIP 30 W Main Street,Suite 220
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46250- Micheal Lee (317)571-2788
PURCHASEn BLANKET CONTRACT PAYMENT TERMS FREIGHT
15055
QUANTITY 1- UNIT OF MEASURE DESCRIPTION UNIT PRICE r EXTENSION
Department: 902 Fund: 902 Carmel Redevelopment Fund
Account: 43-419.99
1 Each Phase II ESA for 20-40 1st Ave NE $7,600.00 $7,600.00
Sub Total $7,600.00
Send Invoice To:
Redevelopment Commission
Michael Lee
30 W Main Street,Suite 220
Carmel, IN 46032-
(317)571-2788 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $7,600.00
SHIPPING INSTRUCTIONS *AlP 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
'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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Corrie Meyer • .,;(x
TITLE
CONTROL NO. 100409 CLERK-TREASURER