HomeMy WebLinkAbout53294 MONROE CONSTRUCTION INDIANA RETAIL TAX EXEMPT I PAGE 1 j
CERTIFICATE N0.003120155 002 0 .
J
_ _ !PURCHASE ORDER NUMBER
" '� FEDERAL EXCISE TAX EXEMPT
F 35-60000972 53294
ONE CIVIC SQUARE
CARMEL,INDtAt1A 48032-2;84 THIS NUMBER MUST APPEAR ON INVOICES,A!P
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
I FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE l DATE REQUIRED l REQUISITION NO. (_ VENDOR NO. 1 DESCRIPTION
PossiiSie""�ve"w"Vend r
7/26/2019 07/28/19 20830 ttacLhed Central Park Trailhead and West Receiving Project
Monroe Construction Group,LLC 3'�s (D(-1• Administration Office
1836 S.Plate Street 1411 E. 116th Street
VENDOR Kokomo, IN 46902 To P Carmel, IN 46032
CONFIRMATION I BLANKET I CONTRACT ' PAYMENT TERMS FREIGHT
QUANTITY 1 UNIT OF MEASURE 1 DESCRIPTION 1 UNIT PRICE EXTENSION
$ 1.000 each Contract Services for CP Trailhead and W.Receiving Project 766,970.000 $766,970.00
GLAccount#1215000-4BA0000 To be, aid_by_CLAY TOWNSHIP , _, .....,.. -671,970.0,0_
103.4460706 CENTRAL PARK Encumber $95,000.00
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I: ACCOUNT 1 PROJECT 1 PROJECT ACCOUNT 1 .W AMOUNT
PAYMENT
• Alp 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
▪ I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper
. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER 0,
DOCUMENT CONTROL NO. 53294 VENDOR COPY