HomeMy WebLinkAbout53621 INTEGRA REALTY RESOURCES INDIANA RETAIL TAX EXEMPT PAGE 1
'�, o CERTIFICATE NO.003120155 002 0
fCaitnel
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 53621
35-60000972
ONE CMC'SQUARE
CARMEL,1'fBtAP'rA.4S032-2E-6 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
10/2/2019 10/07/19 21584 00352326 Addendum to Engagement Letter-Appraisal Services
Integra Realty Resources- Ind Administration Office
4981 North Franklin Rd 1411 E. 116th Street
VENDOR Indianapolis, IN 46226 SHIP Carmel, IN 46032
To
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each Additional Hourly Services Requested per Park Board Attorney $250.000 $250.00
-Appraisal for Property at 11299 Hazel Dell Parkway
GLAccount#1125101-4340400
Send Invoice To:
$250.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• A/P 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 O
DOCUMENT CONTROL NO. 53621 VENDOR COPY