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INDIANA RETAIL TAX EXEMPT Page 1 of 1
of CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102770
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AN
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
3/28/2019 373228 Project 15-16(2);Contract Date 04.17.19
WADSWORTH GOLF CONSTRUCTION City Engineering's Office
VENDOR 13941 S VAN DYKE RD SHIP 1 Civic Square
TO Carmel, IN 46032-
PLAINFIELD,IN 60544-. Kate Lustig
PURCHASE ID BLANKET CONTRACT . PAYMENT TERMS FREIGHT
34974
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department 2200• Fund: 250 Storm Water
Account: 43-509.00 .
1 Each Jordan Woods Stormwater Pond Improvements- $689,498.09 $689,498.00
Construction
Sub Total $689,498.00
Y La t4 '0 1
Send Invoice To:
City Engineering's Office
Kate Lustig
1 Civic Square
Carmel, IN 46032= �. <, ,.,
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $689,498.00
SHIPPING INSTRUCTIONS 'A!P VOUCHER 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
'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 ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY
Jeremy Kashman Douglas Haney
TITLE Director Corporation Couns I 'V
CONTROL NO. 102770 CLERK-TREASURER