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ciitIInriniie1of CERTIFICATE NO.003120155 0020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103007
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
7/17/2019 373423 Consulting for Proposed Cell Tower at Brookshire Golf Club
GPD GROUP Dept of Community Service
VENDOR 520 SOUTH MAIN ST SHIP 1 Civic Square
SUITE 2531 TO Carmel, IN 46032-
AKRON,OH 44311 -
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
38060
h QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 43-509.00
1 Each Consulting $48,750.00 $48,750.00
Sub Total $48,750.00
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Send Invoice To:
Dept of Community Service �,',
1 Civic Square
Carmel, IN 46032- f
PLEASE INVOICE IN DUPLICATE
C_— DEPARTMENT ! ACCOUNT 1 _ PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $48,750.00
SHIPPING INSTRUCTIONS 'AIP 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.
'PURCHASEIS SSUE IN BER MUST APPEAR H ALL SHIPPING
99,ACTS
LABEL �/: -- `�
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Mike Hollibaugh James Crider
TITLE Director Administration \t.
CONTROL NO. 1 03007 CLERK-TREASURER
