HomeMy WebLinkAbout103087 AMERICAN STRUCTURE POINT ity
INDIANA RETAIL TAX EXEMPT Page 1 of 1
Iof IIairinrie1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103087
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
8/27/2019 00350562 Project 19-04;Contract Date 09.18.19
AMERICAN STRUCTURE POINT, INC City Engineering's Office
VENDOR 9025 RIVER RD SHIP 1 Civic Square
SUITE200 TO Carmel, IN 46032-
INDIANAPOLIS, IN 46240- Kate Lustig
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
39267
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2200 Fund: 202 Local Road &Street Fund
Account: 43-509.00
1 Each Illinois Street and Fidelity Way Roundabout-Design $234,630.00 $234,630.00
Sub Total $234,630.00
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Send Invoice To: In ,, .o_ _ ,'
City Engineering's Office
Kate Lustig
1 Civic Square
',' .ter.
Carmel,IN.46032- .,,, ':
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT PROJECT d PROJECT ACCOUNT I AMOUNT
PAYMENT $234,630.00
SHIPPING INSTRUCTIONS 'ASP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
'SHIP PREPAID. PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
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 ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 i 4...-47��-0
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jeremy Kashman James Crider \"
TITLE Director Administration �M
CONTROL NO. 1 03087 CLERK-TREASURER , �1