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HomeMy WebLinkAbout41101 SMITHGROUP, INC I • • INDIANA RETAIL TAX EXEMPT i i PAGE I 1 . CE ARCH NUM61=FtRTIFICATE N0.0031201• P ASEORDER' ity- iCarmel �• FEDERAL EXCISE TAX EXEMPT ' 41101 35-0000972 • OBIE;IN[la41BS032ii'. • mi'r MSERMu$TAPPEARONINVOICE.NP ' L'gE1LLj•.00�IA'NA ;2584' :VOUCHER,DELIVERY MEMO.PACKING SUPS. ! !SHIPPING LABELS AND ANY CORRESPONDENCE. ! FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CrrY OF CARMEL-1997 I' -•-•-----.- -_____.. ._ _: PURCHASE ORDER wail' DATE REQUIRED REQUISmON No. VENDOR NO. DESCRIPTION. 3/12/19 I 17272 373213 I Change:West Park-The Groves Project SmithGroup, Inc. Administration Office VENDOR 201 Depot Street,2nd Floor TO P 1411 E. 116th Street Ann Arbor, MI 48104 Carmel, IN 46032 CONFIRMATION- 8LAFNET CONTRACT 1 PAYMENT TERMS • i FREIGHT ......._.. UNROFMFASURE DESCRIPTION UNIT PRICE EXTENSION QUANTITY __ _.,.____ 1 each Professional Services 485,000.00 $485,000.00 1 each Reimbursables NTE 75,000.00 $ 75,000.00 1 each 1st Amendment-Increase in construction budget, additional design,and documentation required 80,000.00 $ 80,000.00 1 each 2nd Amendment-Changes to Scope of Services 23,790.00 •$ 23,790.00 GL Account#106-(R)5023990 TOTAL $663,790.00 PREVIOUSLY PAID ON THIS P.O. _(LESS) - $639,398.88 P.O. BALANCE $24,391.12 Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPART•MENT ACCOUNT PROJECT1. PROJECT ACCOUNT , _.... AMOUNT PAYMENT • AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER 18 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED. . I HEREBY CERTIFY THAT THERE LS AN UNO$LIOATED BALANCE IN THIS APPROPRIATION • SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER. ▪ CAD SHIPMENTS CANNOT BE ACCEPTED. • PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper _ • THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER BB,ACTS 1843 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE CLERK-TREASURER .. DOCUMENT CONTROL NO. 41101 VENDOR COPY