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I it y o f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100568
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
CARMEL, INDIANA 46032-2584 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
7/13/2017 00351256 Project 17-ENG-08;Contract Date 06.01.16
UNITED CONSULTING City Engineering's Office
I VENDOR 1625 N POST ROAD SHIP 1 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46219- Kate Lustig
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
17117
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE I EXTENSION
Department: 2200 Fund: 211 CUM Cap Development
Account: 43-509.00
1 Each ASA 10-106th Street Pedestrian Trail over White River- $177,700.00 $177,700.00
Design
Sub Total $177,700.00
d 21t- 1-1350`tfl0
..iS OF CAR*
• i
$ f
-
Send Invoice To: � 3
City Engineering's Office
Kate Lustig
1 Civic Square 41:44"-"Di MO'
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT j ACCOUNT j PROJECT PROJECT ACCOUNT AMOUNT -,I
PAYMENT $177,700.00
SHIPPING INSTRUCTIONS *A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
PART OFU 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
Jeremy Kashman Douglas Haney
TITLE Director Corporation Counsel
CONTROL NO. 100568 CLERK-TREASURER N .