HomeMy WebLinkAbout103557 A & F ENGINEER CO INC - REVISED
Page 1 of 1
INDIANA RETAIL TAX EXEMPT
PURCHASE ORDER NUMBER
CERTIFICATE NO. 003120155 002 0
City of Carmel
FEDERAL EXCISE TAX EXEMPT
103557
35-6000972
THIS NUMBER MUST APPEAR ON INVOICES, A/P
ONE CIVIC SQUARE
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
CARMEL, INDIANA 46032-2584
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
Project 20-03; Contract Date 01.08.20
12/13/2019003050
A & F ENGINEER CO, LLC City Engineering's Office
VENDORSHIP
8365 KEYSTONE CROSSING 1 Civic Square
TO
SUITE 201 Carmel, IN 46032-
INDIANAPOLIS, IN 46240 - Kate Lustig
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
42746
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund:
2200202Local Road & Street Fund
Account:
43-401.00
1Each20-03 ASA 1a - 20-03 96th St & College RAB - Supplemental$89,280.00$89,280.00
1EachASA 1 - 96th Street and College Avenue Roundabout - Design$200,000.00$200,000.00
Sub Total
$289,280.00
Account:
43-509.00
1EachASA 1 - 96th Street and College Avenue Roundabout - Design$138,115.87$138,115.87
Sub Total
$138,115.87
Department:Fund:
2200211CUM Cap Development
Account:
43-509.00
Each
1ASA 1 - 96th Street and College Avenue Roundabout - Design$19,089.13$19,089.13
Sub Total
$19,089.13
Send Invoice To:
City Engineering's Office
Kate Lustig
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
$446,485.00
PAYMENT
* 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
*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 LABE
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 194
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
Jeremy Kashman
TITLE
Director
CONTROL NO.
103557
CONTROLLER