HomeMy WebLinkAbout103426 CROSSROADS ENGINEERS INDIANA RETAIL TAX EXEMPT Page 1 of 1
Cityof (1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
�Ia.irnie1 FEDERAL EXCISE TAX EXEMPT 103426
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
12/11/2019 068025 Surveying services
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
42481
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE _ EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 43-404.02
1 Each Surveying services Carmel/Fishers Fiber Optic Easement $500.00 $500.00
Sub Total $500.00
rN.
Y
i Si .
.{p�Y$4� Y f Ta 1,.M,
.. .. 'fir PI 3 .s ', F
Send Invoice TO . .:. ........: 1
7I$¢ .. a.0 ,� ,; ..
ICS \ ^quote dated 12/10/19 / i
'
Timothy Renick
31 1st Avenue N.W: 9
Carmel, IN 46032- ON
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $500.00
SHIPPING INSTRUCTIONS '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
*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
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ���
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Timothy Renick
TITLE Director
CONTROL NO. 103426 CLERK-TREASURER