HomeMy WebLinkAbout101144 CIVIL & ENVIRONMENTAL SONSULTANTS ,,, <, nf carmeINDIANA RETAIL TAX EXEMPT Page 1 of 1
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03120155 002
CERTIFICATE
EXCISE TAX EXEMPT
PURCHAIS®O 144 UMBER
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPIIEA�IR�`OttN INVOICES,NP
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
L lt37 ' 1
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
12113/2017 371594 Part 1
CIVIL&ENVIRONMENTAL CONSULTANTS City Engineering's Office
VENDOR P0 BOX 644246. SHIP 1Civic S uare;
q.
TO
Carmel, IN 4603
PA 15264--4246 Kate Lustig.
PURCHASEID BLANKET CONTRACT PAYMENTTERMS FREIGHT
21741
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department.~ 2200 Fund; 202 Local Road&Street Fund
Account: 43-509.00
1 Each Midtown.Settlement Proposal Street Infrastructure, $4,999.00 $4,999.00
Streetscape, Duke Energy
Sub Total $4,999.00
Send Invoice To:
,;
City Engineering's Office
Kate Lustig
1 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT , AMOUNT
PAYMENT $4,999.00
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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jeremy Kashman
TITLE Director � \\
CONTROL NO. O1 44 CLERK-TREASURER n\V�\\ i