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I CERTIFICATEINDIANA NO.RETAI 003120155TAEEMPT 002 0 PAGE 1
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PLY k PURCHASE ORDER NUMBER
. FEDERAL EXCISE TAX EXEMPT 54538
35-60000972
ONE.CIVIC SQUA.R.E..
CARF4EL, 4169,32-2E34 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
Possible New Vendor
6/23/2020 06/22/20 23470 W-9 attached. Engagement of Services for Bidgood Property
V3 Companies, Ltd. Administration Office
7325 Janes Ave, 1411 E. 116th Street
VENDOR Woodridge, IL 60517 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.000 each ALTA/NSPS Land Title Survey for Bidgood Property $ 3,400.000 $ 3,400.00
1.000 each Phase 1 Environmental Site Assessment for Bidgood Property $2,600.000 $2,600.00
(includes Reimbursables Expenses)
GLAccount# 1060000-4460714
Send Invoice To:
$ 6,000.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
• 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
▪ I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
. C.OD SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 54538 VENDOR COPY