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Home My WebLink About104491 MORPHEY CONSTRUCTION INC - REVISED Page 1 of 2 INDIANA RETAIL TAX EXEMPT PURCHASE ORDER NUMBER CERTIFICATE NO. 003120155 002 0 City of Carmel FEDERAL EXCISE TAX EXEMPT 104491 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 1st St NW, 2nd St SW and Crooked Stick Lane Projects - 11/17/202000351732 Construction MORPHEY CONSTRUCTION INC City Engineering's Office VENDORSHIP 1499 N SHERMAN DRIVE 1 Civic Square TO Carmel, IN 46032- INDIANAPOLIS, IN 46201--1515Laurie Slick PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 51517 QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION Department:Fund: 2200202Local Road & Street Fund Account: 43-509.00 1Each1st St NW, 2nd St SW and Crooked Stick Lane Projects - $79,410.64$79,410.64 Construction Sub Total $79,410.64 Department:Fund: 2200203CUM Cap Improvement Fund Account: 43-509.00 1Each1st St NW, 2nd St SW and Crooked Stick Lane Projects - $290,548.00$290,548.00 Construction Sub Total $290,548.00 Department:Fund: 2200206CUM Cap Sewer Fund Account: 43-509.00 Each 11st St NW, 2nd St SW and Crooked Stick Lane Projects - $269,107.16$269,107.16 Construction Sub Total $269,107.16 Department:Fund: 2200211CUM Cap Development Account: 43-509.00 Each 11st St NW, 2nd St SW and Crooked Stick Lane Projects - $131,734.20$131,734.20 Construction Sub Total $131,734.20 Department:Fund: 2200250Storm Water Send Invoice To: City Engineering's Office Laurie Slick 1 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT $880,694.57 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. 104491 CONTROLLER Page 2 of 2 INDIANA RETAIL TAX EXEMPT PURCHASE ORDER NUMBER CERTIFICATE NO. 003120155 002 0 City of Carmel FEDERAL EXCISE TAX EXEMPT 104491 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 1st St NW, 2nd St SW and Crooked Stick Lane Projects - 11/17/202000351732 Construction MORPHEY CONSTRUCTION INC City Engineering's Office VENDORSHIP 1499 N SHERMAN DRIVE 1 Civic Square TO Carmel, IN 46032- INDIANAPOLIS, IN 46201--1515Laurie Slick PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 51517 QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION Department:Fund: 2200250Storm Water Account: 43-509.00 1EachChange Order No. 1$70,786.60$70,786.60 1EachChange Order No. 2$39,107.97$39,107.97 Sub Total $109,894.57 Send Invoice To: City Engineering's Office Laurie Slick 1 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT $880,694.57 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. 104491 CONTROLLER