HomeMy WebLinkAbout101145 CIVIL & ENVIRONMENTAL CONSULTANTS INDIANARETAILTAX EXEMPTPage 1 of 1
Cityof Carni.cl
CFEDERALTE5- SE TAX EXEMPTO PURCHA1S®ORD ER5NUMBER
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
12/14/2017 371594 Part 2
CIVIL&ENVIRONMENTAL CONSULTANTS City Engineering's Office
VENDOR PO BOX 644246 SHTOIP Cl
Civic Square,
armel, IN 46032-
PITTSBURGH,:PA 15264-4246 Kate Lustig.
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
21816
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department. 2200 Fund: 202 Local Road &Street Fund
Account: 43-509.00
p $4,999.00 $4,999.00
1 Each Midtown Settlement Pro osal -Street Infrastructure,
Streetscape, Duke Energy
Sub Total $4,999.00
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Send Invoice To:
City Engineering's:Office
Kate Lustig
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE INE DUPLICATE
DEPARTMENT ACCOUNT PROJECT 1 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
Jeremy
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AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY /
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TITLE Director Kashman
CONTROL NO. 101 145 CLERK-TREASURER �[�
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