37711 Rieth RIley ConstructionCity of Carmel
CFdk SCH2L-_
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PAGE 1
PURCHASE ORDER NUMBER
37711
THIS NUMBER MUST APPEAR ON INVOICES. NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO. VENDOR NO.
DESCRIPTION
10/27/2014
10/25/14
3226 I
Monon Trail Rehablilitation Phase 1
Rieth -Riley Construction Co., Inc.
P.O. Box 276
VENDOR Indianapolis, 46206
SHIP
TO
Administration Office
1411 E. 116th Street
Carmel, IN 46032
CONFIRMATION
III ARKS
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE I EXTENSION
$ 1.0000 each Monon Rehabilitation Phase 1 Project 211,600.000 $ 211,600.00
$ 1.0000 each Additional Change Orders 21,160.000 $ 21,160.00
GLAccount# 1030000 - 4460703
Send Invoice To:
$ 232,760.00
103 rCr r0 -I PLEASE INVOICE IN DUPLICATE
DEPARTMENT
ACCOUNT
PROJECT
SHIPPING INSTRUCTIONS
SHIP REPAID.
• C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDA I ORY 1 HEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 37711
PROJECT ACCOUNT
AMOUNT
PAYMENT
• /VP 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.
ORDERED BY Dawn Koepper
TITLE
CLERK - TREASURER
VENDOR COPY
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