HomeMy WebLinkAbout105567 PATRIOT ENGINEERING & ENVIRONMENTAL
City of Carmel
EachEachSub Total
Department:Account:Fund:
11Geotechnical Engineering Investigation for 620 S Rangeline Private utility locates$17,800.00$2,000.00Page 1 of 1$17,800.00$19,800.00$2,000.00
90243-419.99902Carmel Redevelopment Fund
INDIANA RETAIL TAX EXEMPT
Send Invoice To:
Rd.
CERTIFICATE NO. 003120155 002 0PURCHASE ORDER NUMBER
Redevelopment Commission
105567
Micheal Lee
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
(317) 571-2788
PLEASE INVOICE IN DUPLICATE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTIONDEPARTMENTACCOUNTPROJECTPROJECT
ACCOUNTAMOUNT
$19,800.00
PAYMENT
9/28/2021361862
* 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
PATRIOT ENGINEERING & ENVIRONMENTALRedevelopment Commission
*SHIP PREPAID.
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
VENDORSHIP
6150 E. 75TH STREET 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 LABE
Carmel, IN 46032-
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 194
INDIANAPOLIS, IN 46250 - Micheal Lee(317) 571-2788
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
Henry MestetskyHenry Mestetsky
TITLE
59707DirectorDirector
105567
CONTROL NO.
CONTROLLER
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION