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HomeMy WebLinkAbout100678 REITH-RILEY CONSTRUCTION CO INDIANA RETAIL TAX EXEMPT Page 1 of 1 City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 100678 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP 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 8/24/2017 00350596 2017 Resurfacing RIETH-RILEY CONSTRUCTION CO INC Street Department VENDOR PO BOX 276 SHIP 3400 W. 131st Street TO Carmel, IN 46074- INDIANAPOLIS, IN 46206- (317)733-2001 PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 18381 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 2201S Fund: 101 Street Dept-Special Proj Account: 43-502.00 1 Each Street Repaving 1,726,354.37 $1,726,354.37 Sub Total $1,726,354.37 Send Invoice To: Street Department 3400 W. 131st Street Carmel, IN 46074- (317)733-2001 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT $1,726,354.37 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 H ALL SHIPPING LABEL ----L— AND � � � 'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 --crL n.-�,.t �t c G \ AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY --- Dave Huffman James Crider TITLE Director Administration CONTROL NO. 100678 CLERK-TREASURER - - -