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Home My WebLink About103891 CROSSROADS City of Carmel EachSub Total Department:Account:Fund: 1Des 1702127 - 116th Street and Guilford Road RAB - $40,720.00Page 1 of 1$40,720.00$40,720.00 220043-509.00202Local Road & Street Fund INDIANA RETAIL TAX EXEMPT Send Invoice To: Inspection CERTIFICATE NO. 003120155 002 0PURCHASE ORDER NUMBER City Engineering's Office 103891 Kate Lustig FEDERAL EXCISE TAX EXEMPT 35-6000972 1 Civic Square THIS NUMBER MUST APPEAR ON INVOICES, A/P ONE CIVIC SQUARE VOUCHER, DELIVERY MEMO, PACKING SLIPS, CARMEL, INDIANA 46032-2584 Carmel, IN 46032- SHIPPING LABELS AND ANY CORRESPONDENCE FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997 PLEASE INVOICE IN DUPLICATE PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT Project 16-ENG-43 - INDOT LPA Des 1702127; Contract Date $40,720.00 PAYMENT 3/23/2020068025 04.01.20 * A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A SHIPPING INSTRUCTIONS PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN CROSSROAD ENGINEERS, PC City Engineering's Office *SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN VENDORSHIP 3417 S SHERMAN DR 1 Civic Square *C.O.D. SHIPMENT CANNOT BE ACCEPTED.THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. TO *PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL Carmel, IN 46032- *THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 194 BEECH GROVE, IN 46107 - Kate Lustig ORDERED BY AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. Jeremy KashmanJames Crider PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT TITLE DirectorDirector of Administration 45429 103891 CONTROL NO. CONTROLLER QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION Page 1 of 1$40,720.00$40,720.00 PURCHASE ORDER NUMBER 103891 THIS NUMBER MUST APPEAR ON INVOICES, A/P VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION AMOUNT Project 16-ENG-43 - INDOT LPA Des 1702127; Contract Date $40,720.00 04.01.20 * 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 City Engineering's Office AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN 1 Civic Square Carmel, IN 46032- James Crider PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT Director of Administration EXTENSION