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HomeMy WebLinkAbout58064 UNITED CONSTRUCTION SERVICES LLC - REVISED INDIANA RETAIL TAX EXEMPT PAGE 1 qy CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER 11)7 0, Inn ar„, , .„ e FEDERAL EXCISE TAX EXEMPT 58064 35-60000972 ONE CIVIC SQUARE C.ARMEL,IN DIAILIA 46O 32.-.25,84 THIS NUMBER MUST APPEAR ON INVOICES,A/P 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 11/3/2023 05/10/23 33037 375267 Change:West Park Perimeter Trail Construction United Construction Services, LLC Administration Office 347 S Broadway St 1411 E. 116th Street VENDOR Pendleton, IN 46064 SHIP Carmel, IN 46032 TO CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION $ 1.000 each Agreement to construct trail (Note-Contract is for$913,000, 500,000.000 $ 500,000.00 Township to pay remaining $413,000.00) $ 1.000 each Clay Township's portion now being paid through CCPR 413,000.000 $413,000.00 $-1.000 each Change Order#1 - Deduct for Boardwalk, Beacon Signs, and 273,643.720 $-273,643.72 Signage $-1.000 each Change Order#2- Deduct Beacon Sign Install 5,016.890 $-5,016.89 GLAccount# 1030000-4460708 $500,000.00 1060000-4460708 $134,339.39 Send Invoice To: $ 634,339.39 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED. ▪ I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION • SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER. . C.O.D SHIPMENTS CANNOT BE ACCEPTED. • PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper • THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE Purchasing Administrator CONTROLLER DOCUMENT CONTROL NO. 58064 V N ID 0 IR COIF Y