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INDIANA RETAIL TAX EXEMPT Page 1 of 1
f c11.2IlrrrIIel , CE�� ® CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100737
35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
ONE CIVIC SQUARE , — — 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
911812017
371912 Project 17-17;Contract Date 10.04.17
IMPACT NETWORKING City Engineering's Office
VENDOR 8888 KEYSTONE CROSSING#350 SHIP 1 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS,IN 46240- Kate Lustig
PURCHASE ID BLANKET t CONTRACT
PAYMENT TERMS FREIGHT
19128
QUANTITY UNIT OF MEASURE
DESCRIPTION UNIT PRICE EXTENSION
Department: 2200 Fund: 2200 Motor Vehicle Highway
Account: 43-419.99
1 Each Engineering Scanning Project $36,000.00 $36,000.00
Sub Total $36,000.00
Send Invoice To:
City Engineering's Office
Kate Lustig
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE PROJECT accouNT AMOUNT
ACCOUNT I PROJECT
__DEPARTMENT -- $36,000.00
PAYMENT
•NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS PART OF
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.
7 ',
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL �T `� �,/1C�
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. Jeremy Kashman James Crider `\
TITLE Director Administration
CONTROL NO. 100737 CLERK-TREASURER