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INDIANA RETAIL TAX EXEMPT Page 1 of 1
, of CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103521
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,ARCARMEL, 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
12/13/2019 068025 2020 On-Call Plan Review;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
42687
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2200 Fund: 2200 Motor Vehicle Highway
Account: 43-401.00
1 Each 2020 On-Call Plan Review $77,888.32 $77,888.32
Sub Total $77,888.32
Acco
unt:fount 43-509.00 -
1 Each 2020 On-Call Plan Review $17,111.68, $17,111.68
Sub Total $17,1'11 68
Aso #
f
, 7
Send Invoice To:
City Engineering's Office
Kate Lustig
1 Civic Square : g.,
4 ,,w,
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $95,000.00
SHIPPING INSTRUCTIONS 'AR 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
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AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jeremy Kashman James Crider
TITLE Director Administration
CONTROL NO. 103521 CLERK-TREASURER