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PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 50305
3540000972
ONt'CN1C S4WA#tE "
EL :25 4 ' i THIS NUMBER MUST APPEAR ON INVOICES.A/P
, VOUCHER.DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE. i
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 .... .. ......... I
PURCHASE ORDER DATE DATE REQUIRED 1 REQUISITION NO. VENDOR NO. ; DESCRIPTION
i
8/31/2017 09/04/17 13856 cjo I West Park The Groves Pavilion Geothermal Feasibility Study
Elara Engineering Administration Office
30 N.Wolf Road 2nd Floor 1411 E. 116th Street
SHIP
VENDOR Hillside,IL 60162 TO Carmel,IN 46032
CONFIRMATION, BLANKET CONTRACT i ___._.. PAYMENT TERMS FREIGHT
I
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE 1 EXTENSION
$1.0000 each Engineering Proposal to evaluate the feasibility and estimated 6,000.000 $6,000.00
cost associated with installing a geothermal heating and
cooling system
GLAccount#1060000-5023990
Send Invoice To:
$6,000.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1. ....._ PROJECT' 1 PROJECT ACCOUNT AMOUNT
PAYMENT
• AIP 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THER€15 AN ONOBLIGATED9.44,Aire IN nert A1Ip RIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR me ABOVE ORDER.
• C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER \
\
VENDOR COPY
DOCUMENT CONTROL NO. 50305 ��