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C of II1 .arniie1 CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103196
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,ANP
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
10/30/2019 068025 Fiber Optic easement surveys for Carmel/Fishers
CROSSROAD ENGINEERS, PC ICS
VENDOR 3417 S SHERMAN DR SHIP 31 1st.Avenue N.W.
TO Carmel, IN 46032-
BEECH GROVE, IN 46107 - Timothy Renick (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS • FREIGHT
41023
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 43-404.00
1 Each Fee for Fiber Optic survey $2;000.00 $2,000.00
Sub Total $2,000.00
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Send Invoice To: L ;_.�. `-i'
ICS
Timothy Renick
31 1st Avenue N.W. ,,
Carmel, IN 46032- , '
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT $2,000.00
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
'COD.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION.- �� SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL U
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'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 {
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AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY �,�
Janet Arnone i r V
TITLE Admin Assistant �
CONTROL NO. 103196 CLERK-TREASURER v