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III1tCity of Carmel 1„ CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
1 FEDERAL EXCISE TAX EXEMPT 1 00657
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
8/16/2017 00350596 Project 16-ENG-31;Contract Date 05.31.17-Community
Crossing Grant
RIETH-RILEY CONSTRUCTION CO INC City Engineering's Office
VENDOR PO BOX 276 SHIP 1 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46206- Kate Lustig
PURCHASE ID I BLANKET ' CONTRACT 1 PAYMENT TERMS FREIGHT 7
18186
QUANTITY j UNIT OF MEASURE ` DESCRIPTION UNIT PRICE � EXTENSION
Department: 2200 Fund: 900 Grant Fund
Account: 44-628.70
1 Each 4th Street West of Monon Trail and Range Line Road and 4th 1,000,000.00 $1,000,000.00
Street RAB-Construction
Sub Total $1,000,000.00
Send Invoice To:
City Engineering's Office
Kate Lustig
1 Civic Square
Carmel,IN 46032-
PLEASE IN_ VOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT L PROJECT ACCOUNT AMOUNT
PAYMENT $1,000,000.00
SHIPPING INSTRUCTIONS *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
*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 r��� /�
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ' A.4..--e//tee•`c1 - 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY �
Jeremy Kashman James Crider
TITLE Director Administration
CONTROL NO. 100657 CLERK-TREASURER