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C' CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
ParksQ_ ecreation FEDERAL EXCISE TAX EXEMPT 29625
�,1 C7C Cj.`1�,,,/ 35.60000972
1411 E 116`h Street THIS NUMBER MUST APPEAR ON INVOICES,A/P
Carmel, IN 46032 VOUCHER, DELIVERY MEMO. PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE,
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
4/9/13 Contract F. Park Sports Field Inspection & Docum.
DB Engineering, LLC AO ; - ,- -;.r ED
VENDOR 1
I aO�o l`Vl�S6n �}-�e.� LLW SHIP APR 0 � 2013
1 d(anac/1's, IA) (1-6a3S ,
CONFIRMATION ' BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE 1 DESCRIPTION UNIT PRICE l EXTENSION
Founders Park Sports Field Improvement $75,000.00 $75.000.00
Construction Inspection & Construction
Documentation Services
NTE $75,000.00
Park Board Approved 2/26/13
Send Invoice To:
$75,000.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT
• A/P VOUCHER CANNOT BE APPROVID FOR PAYMENT UNLESS THE P.O.
0(o _ g C12-.31)42 o,K,-.d eC l■S U NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORD AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS/N UNOBLIGATED BALANCE IN
•SHIP REPAID. THIS APPROPRIATION SUFFICIENT'0 PAY FOR THE ABOVE ORDER,
•C.O.D:SHIPMENTS CANNOT BEACCEPTED. Michael Klitzing - DK i f)/� 1 Lt.k.11.3
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY _� ` 1
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE /%:. 4�Cj ( 7
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. /-`�- -- I
CLERK-TREASURER
DOCUMENT CONTROL NO. 29625 VENDOR COPY Or