HomeMy WebLinkAboutSignal Construction,Inc./STREET/$240,000/Contractor Services ASACzTfshfzHsfdivlijobu3;43qn-Kbo34-3136
Docusign Envelope ID: 7F10CACC-9F71-4B89-843E-C84B89C4B580
NOT PRESENT
2/6/2025
2/6/2025
2/6/2025
Docusign Envelope ID: 7F10CACC-9F71-4B89-843E-C84B89C4B580
1/15/2025
SIGNAL CONSTRUCTION INC
GREENFIELD, IN 46140 -
114340
5639 WEST US 40
City of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35-6000972
PURCHASE ORDER NUMBER
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR SHIP
TO
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
EXTENSION
Street Department
3400 W. 131ST Street
Carmel, IN 46074-
317) 733-2001
00352135
UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY
Page 1 of 1
Matt Higginbotham
95693
2201Department:2201Fund:Motor Vehicle Highway FND
43-509.00Account:
ContractorServices1 $240,000.00 $240,000.00Each
240,000.00SubTotal
240,000.00
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
SHIPPING INSTRUCTIONS
SHIP PREPAID.
C.O.D. SHIPMENT CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
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
AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
CONTROL NO. 114340
ORDERED BY
TITLE
Street Department
3400 W. 131st Street
Carmel, IN 46074-
Lee Higginbotham Zac Jackson
317) 733-2001
Commissioner CFO
Docusign Envelope ID: 7F10CACC-9F71-4B89-843E-C84B89C4B580