HomeMy WebLinkAboutSpecialized Land Services, Inc./ENG/$5,900/Buying Services; 2020 Road Bond - ASACzTfshfzHsfdivlijobu:;68bn-Nbs33-3133
DocuSign Envelope ID: 5763FED6-9E94-4233-BEB5-3F762D281573
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4/6/2022
4/6/2022
4/6/2022
DocuSign Envelope ID: 5763FED6-9E94-4233-BEB5-3F762D281573
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INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
Page 1 of 1
PURCHASE ORDER NUMBER
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FEDERAL EXCISE TAX EXEMPT 106384
THIS NUMBER MUST APPEAR ON INVOICES,/VPONECIVICSQUARE35-6000972
CARMEL, INDIANA 46032-2584 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
3/21/2022 376319 Buying Services for2020 Road Bond
SPECIALIZED LAND SERVICES INC City Engineering's Office
VENDOR 630 N RANGELINE RD SHIP 1 Civic Square
TOSUITEC Carmel, IN 46032-
CARMEL, IN 46032 - Laurie Slick
PURCHASE ID BLANKET CONTRACT PAYMENTTERMS FREIGHT
64394
DESCRIPTION I UNIT PRICE EXTENSIONQUANTITYUNITOFMEASURE
Department: 2200 Fund., 0 2020 Road Bond
Account: 44-628.71
1 Each 20-ENG-01 - Parcel 3 - Buying Services 2,075.00 2,075.00
1 Each 20-ENG-02- Parcel 1- Temporary Easement 1,750.00 1,750.00
1 Each 20-ENG-02 - Parcel 6 - Buying Services 2,075.00 2,075.00
Sub Total 5,900.00
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Send Invoice To:
Jill Newport
CrossRoadEngineers, PC 115
N. 171h Avenue r` Beech
Grove, IN 46107 r5 PLEASE
INVOICE IN DUPLICATE DEPARTMENT
ACCOUNT PROJECT PROJECTACCOUNT I AMOUNT PAYMENT $
5,900.00 SHIPPING
INSTRUCTIONS A/
P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART
OF THE VOUCHER AND EVERY INVOICEAND VOUCHER HAS THE PROPER SWORN SHIP
PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UN08LIGATED 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 i '
7 THIS
ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 194( AND
ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY Jeremy
Kashman James Crider TITLE
Director Director of Administration CONTROL
NO. 106384 CONTROLLER
DocuSign Envelope ID: 5763FED6-9E94-4233-BEB5-3F762D281573