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31570 C.L. Coonrod & Company
INDIANA NO. TAX PAGE C i y o f Carmel CERTIFICATE 0320 02 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 31570 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP 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 8/29/2013 C. L. CoonrOd & Company City of Carmel VENDOR 3850 Priority Way South Drive SHIP Mayor' s Office Suite 225 TO One Civic Square Indianapolis, IN 46240 Carmel, IN 46032 CONRRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE I I DESCRIPTION UNIT PRICE l EXTENSION Professional Services for 2013 $41,000 .00 Per Contract #041598 . 05 dated 4/15/2998 land Rider #0606011 . 01 dated 6/6/2011 07,4 o..!...©.......1,-vi"-----e-es. • • Sv (� q� 4 LJ nn ,W Soo o.....•boo 7 'WI Send Invoice To: j1r �ffff11f • 1160/4341999 $22 ,000 .00 $41,000.68 1160/4340400 $19,000 .00 . • PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT • PROJECT PROJECT ACCOUNT AMOUNT PAYMENT • - • NP 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. SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. G •GO.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY ,_ •PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ! A ,/ �..—[ Y •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE -W 11�',-•V! AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 31570 OFFICE COPY