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Home My WebLink AboutSpecialized Land Services, Inc./ENG/$12,960/Buying Services - 116th Street Path - ASACzBmmjtpoMzodi.NdHsbuibu21;64bn-Opw3:-3134 DocuSign Envelope ID: 3C2AC1A0-352E-4C87-8ACB-016FB5EE24A8 12/6/2023 12/6/2023 12/6/2023 12/6/2023 Exhibit A DocuSign Envelope ID: 3C2AC1A0-352E-4C87-8ACB-016FB5EE24A8 Cityof Carmel INDIANA RETAIL TAX EXEMPT CERTIFICATE N0. 0031201550020 Page 1 of 1 PURCHASE ORDER NUMBER JJ l l Q JJ// y jt,fl FEDERAL EXCISE TAX EXEMPT 110329 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A)P 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 11 /27/2023 376319 22-ENG-02 - Buying Services SPECIALIZED LAND SERVICES INC City Engineering's Office VENDOR 630 N RANGELINE RD SHIP 1 Civic Square SUITE C TO Carmel, IN 46032- CARMEL, IN 46032 - Laurie Slick PURCHASEID BLANKET CONTRACT PAYMENTTERMS FREIGHT 82639 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department 2200 Fund:0 2022 Bond Account: 44-628.71 1 Each 22-ENG-02 - Buying Services - 6 parcels Send Invoice To: 5 ;, / y J nr Jill Newport CrossRoad Engineers, PC } , 1 115 N. 171h Avenue. l Beech Grove, IN 46107 4 6 ; A 111 1' e _r inewoort(&crossroadencineers com PLEASE INVOICE IN DUPLICATE 12,960.00 $12,960.00 Sub Total $12,960.00 DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT I AMOUNT PAYMENT $12,960.00 SHIPPING INSTRUCTIONS A1P 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 SHIP PREPAID AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN CO 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 xc Jeremy Kashman TITLE Director James Crider Director of Administration CONTROL NO 110329 CONTROLLER DocuSign Envelope ID: 3C2AC1A0-352E-4C87-8ACB-016FB5EE24A8