HomeMy WebLinkAbout105384 CALUMET CIVIL CONTRACTORS
Page 1 of 1
INDIANA RETAIL TAX EXEMPT
PURCHASE ORDER NUMBER
CERTIFICATE NO. 003120155 002 0
City of Carmel
FEDERAL EXCISE TAX EXEMPT
105384
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
16-ENG-37 - RAB Improv - 116th St & Range Line Rd - Street
7/12/2021034249
Scape Portion
CALUMET CIVIL CONTRACTORS City Engineering's Office
VENDORSHIP
4898 FIELDSTONE DRIVE 1 Civic Square
TO
Carmel, IN 46032-
WHITESTOWN, IN 46075 - Laurie Slick
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
57852
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund:
2200202Local Road & Street Fund
Account:
43-509.00
Each
1 16-ENG-37 - RAB Improv - 116th St & Range Line Rd - 1,105,921.79$1,105,921.79
Streetscape
Each
1 Change Order 2 - 16-ENG-37 - RAB Improv - 116th St & $174.00$174.00
Range Line Rd - Streetscape
1Each Change Order 3 - 16-ENG-37 - RAB Improv - 116th St & $29,196.00$29,196.00
Range Line Rd - Streetscape
Each
1 Change Order 4 - 16-ENG-37 - RAB Improv - 116th St & $46,020.59$46,020.59
Range Line Rd - Streetscape
Sub Total
$1,181,312.38
Department:Fund:
2200203CUM Cap Improvement Fund
Account:
43-509.00
Each
1 16-ENG-37 - RAB Improv - 116th St & Range Line Rd - $162,596.00$162,596.00
Streetscape
Sub Total
$162,596.00
Department:Fund:
2200211CUM Cap Development
Account:
43-509.00
1Each 16-ENG-37 - RAB Improv - 116th St & Range Line Rd - $363,760.00$363,760.00
Streetscape
Sub Total
$363,760.00
Send Invoice To:
City Engineering's Office
Laurie Slick
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
$1,707,668.38
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 LABEL
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
Jeremy KashmanJames Crider
TITLEDirectorDirector of Administration
CONTROL NO.
105384
CONTROLLER