HomeMy WebLinkAbout101057 H W C ENGINEERING Citof Carmel INDIANA RETAIL TAX EXEMPT Page1 of CERTIFICIFICATE NO.003120155 002 0 PURCHASSOE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101057
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/11/2017 366795
H W C ENGINEERING City Engineering's Office
VENDOR 601 SOUTH 3RD ST SHIP 1 Civic Square
TO
Carmel, IN 46032-
TERRE HAUTE, IN 47807- Kate Lustig
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
21500
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2200 Fund: 202 Local Road &Street Fund
Account: 43-401.00
1 Each ASA 6.-Carmel Drive and AAA Way Intersection and $295,800.00 $295,800.00
Regional Drainage-Design
Sub Total $295,800.00
Department: 2200 Fund: 211 CUM.Cap Development
Account:
Each
Sub Total
Account: 43-40100_
1 Each _ ASA 6-Carmel Drive and AAA Way Intersection and $50,000.00 $50,000.00
Regional Drainage-Design
Sub Total $50,000.00
Department: 2200 Fund: 2200 Motor Vehicle Highway'
Account: 43-401.00
1 Each ASA 6-Carmel Drive and AAA.Way Intersection and,, $25,400.00 $25,400.00
Regional°Drainage-Design
Sub Total l $25,400.00
Send invoice To:
City Engineering's Office
Kate Lustig. •
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $371,200.00
SHIPPING INSTRUCTIONS `NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
*SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
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
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ^�'� ' t%
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jeremy Kashman James Crider
TITLE Director Administration
CONTROL NO. 101057 CLERK-TREASURER