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Cit of cllair � ]��1el CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102705
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,MP
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
3/5/2019 '373186 Street Light Assessment
CROWE LLP Street Department
VENDOR 320 E JEFFERSON BLVD SHIP 3400 W. 131st Street '
PO BOX 7 TO Carmel, IN 46074-
SOUTH BEND, IN 46624--0007 (317)733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
34407
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 43-509.00
1 Each Street Light Assessment $150,000.00 $150,000.00
Sub Total $150,000.00
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Send Invoice To: .
Street Department N.
3400 W. 131st Street ''
Carmel, IN 46074- fi 1-' n = 1 r
(317)733-2001
PLEASE INVOICE IN DUPLICATE
L_ DEPARTMENT + ACCOUNT ,__APROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $150,000.00
SHIPPING INSTRUCTIONS 'ANVOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*COD.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL /f
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 /�C�r.-" z�/ .. e
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY `•✓ �j/I � �C c` (�
\l
Dave Huffman James Crider \"
TITLE Director Administration C�\ `
CONTROL NO. 1 02705 CLERK-TREASURER \