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CERTDIIFICA EENO00310150020 PURCHASE ORDER NUMBER/Jl �j FEDERAL EXCISE TAX EXEMPT 103418
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AR
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/10/2019 068025 Project 20-01;Original Contract Date 02.07.18 -
CROSSROAD ENGINEERS, PC City Engineering's Office
VENDOR 3417 S SHERMAN DR SHIP 1 Civic Square
TO Carmel, IN 46032-
BEECH GROVE, IN 46107- Kate Lustig
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
._,..FREIGHT
42453
QUANTITY UNIT OF MEASURE DESCRIPTION
UNIT PRICE EXTENSION
Department: 2200 Fund: 250 Storm Water
Account: 43-509.00
1 Each ASA 6-City of Carmel Stormwater Technical Standards $50,000.00 $50,000.00
Manual Updates
Sub Total $50,000.00
x
Send Invoice To:
City Engineering's Office
Kate Lustig : _,
1 Civic Square ,
Carmel, IN 46032 *, .c '�
s
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT d PROJECT ACCOUNT AMOUNT
PAYMENT $50,000.00
SHIPPING INSTRUCTIONS 'MP 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 .''�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jeremy Kashman James Crider
TITLE Director Administration
CONTROL NO. 103418 CLERK-TREASURER