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101190 PRECISION CONCRETE CUTTING
INDIANA RETAIL TAX EXEMPT Page 1 • . .. of9 o . 'of Carthel - . CERTIFICATE NO.003120155 002 0_ PURCHASE ORDER NUMBER - FEDERAL EXCISE TAX EXEMPT 101-1:90 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 t 1997 • - - - - . PURCHASE ORDER DATE 'DATE REQUIRED REQUISITION NO: VENDOR.NO. . DESCRIPTION .. 12/20/2017 367635 Sidewalk Trip Hazard . (.6i , . .PRECISION CONCRETE CUTTING Street Department- VENDOR: 1896 GOLDENEYE DRIVE : : � -SHIP 3400 W: 131 st:Street • . TO:: • Carmel,:IN.46074- - - HOLLAND, MI 49424 • ' 3 ( 17)733-2001 - - -_PURCHASE ID BLANKET CONTRACT :: 1. FREIGHT : . ..21998 . . . . . . - • .QUANTITY :: - : UNIT OF MEASURE : :• • : :• : DESCRIPTION: :: : : • • . UNIT PRICE EXTENSION Department: 2201 Fund 2201 Motor Vehicle Highway FND . ' . Account: 43-509.00 . -1 Each . :. . : Sidewalk Trip Hazard Removal :: • . :: . . - • $54,600.00 $54,600.00 Sub Total. $54,600.00 4 . .. •i ' -- /I.:-'T • .. . . I;. • �� � ' 6 . Send Invoice:To: . .- - k,4'.'''.,4.'6:41,,11:'!:-.,•-:.,..;.:_};:,, g ' _ Street Department ; • 3400 W. 131st Street Vb."'-'14P'''' - - ' . . Carmel, I.N. 46074- (317)733-2001 . . . PLEASE INVOICE IN DUPLICATE. . . . . DEPARTMENT .V .:. ACCOUNT:: 'I . .: PROJECT . . ::PROJECT ACCOUNT .I . . AMOUNT. . .: PAYMENT :. • $54,600.00::. . `AIP VOUCHER.CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A SHIPPING INSTRUCTIONS PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN, . *SHIP PREPAID. • - • - AFFIDAVITATTACHED.•;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 ALL SHIPPING LABEL - •*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY- � .. .. .. Dave HUffman • - James Crider - ::. TITLE .- : Director Administration: ... . . CONTROL NO. .101190 CLERK-TREASURER