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1IIII. t of Iarriiie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101615
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
4/24/2018 372392 Project 16-ENG-32
AT&T City Engineering's Office
VENDOR 3450 RIVERWOOD PKWY SE SHIP 1 Civic Square
ROOM#162-014 TO Carmel, IN 46032-
ATLANTA,GA 30339- Kate Lustig
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
25393
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2200 Fund: 202 Local Road &Street Fund
Account: 43-509.00
1 Each Preliminary Engineering Agreement-Monon Blvd from Main $6,000.00 $6,000.00
Street to 2nd Street SW
Sub Total $6,000.00
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Send Invoice To:
City Engineering's Office `' 3
Kate Lustig "vva
. 1 Civic Square '''. •
Carmel, IN 46032- ' , h, ��
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $6,000.00
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 C% `—�"'`� / ��
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 - '��
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY `^
Jeremy Kashman James Crider `(?3O
TITLE Director Administration \
CONTROL NO. 101615 CLERK-TREASURER