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INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0PURCHASE ORDER NUMBER
City of Carmel
FEDERAL EXCISE TAX EXEMPT
105869
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
21-03 Orchard Park Drainage - Professional Services -
12/6/2021366795
12/16/2021
H W C ENGINEERING City Engineering's Office
VENDORSHIP
601 SOUTH 3RD ST 1 Civic Square
TO
Carmel, IN 46032-
TERRE HAUTE, IN 47807 - Laurie Slick
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS
FREIGHT
61652
QUANTITYUNIT OF MEASUREDESCRIPTIONUNIT PRICEEXTENSION
Department:Fund:
2200250Storm Water
Account:
43-509.00
1Each21-03 Orchard Park Drainage - Professional Services$212,500.00$212,500.00
Each
1ASA 1 - 21-03 Orchard Park Drainage - Additional Inspection $37,000.00$37,000.00
Services
Sub Total
$249,500.00
Send Invoice To:
City Engineering's Office
Laurie Slick
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENTACCOUNTPROJECTPROJECT ACCOUNTAMOUNT
$249,500.00
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.
Bradley PeaseZac Jackson
TITLEDirectorCFO
CONTROL NO.
105869