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ciiiJL of Iarririe1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103090
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
8/29/2019 373547 Project Admin,Fieldwork,Report Writing,RuskinArc Entries,
Travel&Printing,Comp Survey
NS SERVICES LLC Dept of Community Service
VENDOR 4974 S.COBBLESTONE DRIVE SHIP 1 Civic Square
TO Carmel,IN 46032-
ZIONSVILLE, IN 46077-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
39334
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 43-590.29
1 Each Contractor's Fees $26,450.00 $26,450.00
Sub Total $26,450.00
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Send Invoice To: ..� ..,...—...„ , .,_ s, ,._.,..,µ.,_.
Dept of Community Service Not to exceed$26,450.00 . p ^
1 Civic Square Y
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $26,450.00
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.
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL �
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'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 / 'e �� (7 lvt
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Mike Hollibaugh James Crider \�
TITLE Director Administration� `
CONTROL NO. 1 03090 CLERK-TREASURER