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cii:City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103065
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,'VP
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
8/13/2019 371826 etddi{ t Archj4-ec ,z.it ei'\/1
GSB, INC. Redevelopment Commission
VENDOR 3555 NW 58TH STREET SHIP 30 W Main Street,Suite 220
SUITE 700W TO Carmel, IN 46032-
OKLAHOMA CITY,OK 73112- Micheal Lee (317)571-2788
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
38872
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 902 Fund: 902 Carmel Redevelopment Fund
Account: 43-402.00
1 Each Additional MEP/FP design for VRF system $101,168.00 $101,168.00
1 Each Additional services for façade changes $26,994.00 $26,994.00
1 Each Additional value engineering services $87,559.00 $87,559.00
Sub Total $215,721.00
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Send Invoice To: .,-.'
Redevelopment Commission
Michael Lee
30 W Main Street, Suite 220
Carmel, IN 46032- ;"
(317)571-2788 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $215,721.00
SHIPPING INSTRUCTIONS *AR 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 LABE
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY
Henry Mestetsky Henry Mestetsky
TITLE
C2
CONTROL NO. 103065 CLERK-TREASURER