HomeMy WebLinkAboutClark Dietz Inc./ENG/$142,121/20-ENG-06 Multi-Use Path along Haverstick from 96th to 99th St - Construction Inspection - ASABy Sergey Grechukhin at 4:30 pm, Sep 27, 2023
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10/4/2023
10/4/2023
10/4/2023
10/4/2023
Exhibit A
DocuSign Envelope ID: 1FAB5F44-D299-4448-9FD9-EA549FFF4D07
DocuSign Envelope ID: 1FAB5F44-D299-4448-9FD9-EA549FFF4D07
DocuSign Envelope ID: 1FAB5F44-D299-4448-9FD9-EA549FFF4D07
DocuSign Envelope ID: 1FAB5F44-D299-4448-9FD9-EA549FFF4D07
DocuSign Envelope ID: 1FAB5F44-D299-4448-9FD9-EA549FFF4D07
Ca31rmeCityCarmeINDIANA
RETAIL TAX EXEMPT CERTIFICATE
NO. 003120155 002 0 Page
1 Of 1 PURCHASE
ORDER NUMBER J
o\
J/ 11
ofEXCISE
TAX EXEMPT 110085 THIS
NUMBER MUSTAPPEARON INVOICES, AP ONECIVICSQUARE35.6000972 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 9/
22/2023 060650 Professional Services Agreement dated 3N5I23 CLARK
DIETZ, INC City Engineering's Office VENDOR
125 W CHURCH STREET SHIP 1 Civic Square TO
Carmel, IN 46032- CHAMPAIGN,
IL 61820 - Laurie Slick PURCHASED
BLANKET CONTRACT PAYMENT TERMS FREIGHT 80957
QUANTITY
UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department:
2200 Fund: 0 2022 Bond Account:
44-628.71 1
Each 20-ENG-06 - Haverstick Rd Path from 96th to 99th Street - Construction
Inspection Send
Invoice To: 142,
121.00 Sub
Total 142,
121.00 142,
121.00 Jill
Newport CrossRoad
Engineers, PC 115
N. 171h Avenue Beech
Grove, IN 46107 inewoort(&
crossroaden0ineers.com PLEASE
INVOICE IN DUPLICATE DEPARTMENT
ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT $
142,121.00 SHIPPING
INSTRUCTIONS A'
P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THEP O NUMBERISMADEA PART
OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN SHIPPREPAID
AFFIDAVIT ATTACHED I HEREBY CERTIFY THAT THERE ISAN UNOBLIGATED BALANCE IN C.
0 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 AND
ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY Jeremy
Kashman Director
James
Crider Director
of Administration CONTROL
NO. 110085 TITLE
CONTROLLER
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