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City
it ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 0091 3
ONE CIVIC SQUARE 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
11/13/2017 365286
HAGERMAN, INC Redevelopment Commission
VENDOR SHIP 30 W Main Street,Suite 220
PO BOX 11848 TO Carmel, IN 46032-
FORT WAYNE, IN 46861 - Micheal Lee (317)571-2788
PURCHASE ID BLANKET CONTRACT r PAYMENT TERMS FREIGHT
20639
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
Department: 902 Fund: 902 Carmel Redevelopment Fund
Account: 44-608.05
1 Each Contract balance for Veterans Way extension $116,734.00 $116,734.00
Sub Total $116,734.00
Send Invoice To:
Redevelopment Commission
Michael Lee
30 W Main Street,Suite 220
Carmel, IN 46032-
(317)571-2788 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 1 AMOUNT
PAYMENT $116,734.00
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
4lP PREPAID AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
0 D SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
i!RCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
S ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
,,,`Jr..)ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Henry Mestetsky
TITLE
CONTROL NO. 100913 CLERK-TREASURER v�