101209 PRECISION CONCRETE CUTTING Page e 1 of 1INDIANA RETAIL TAX EXEMPT PURCHASEORDER
NUMBERCit ofcIa]rrr1e1 CERTIFICATEO IrOFEDERAL EXCISE TAX EXEMPT
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AQP
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
1RM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELSANDANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12/27/2017 367635 Sidewalk Trip Hazard
PRECISION CONCRETE CUTTING Street Department
VENDOR 1896 GOLDENEYE DRIVE SHIP 3400 W. 131st Street
TO Carmel, IN 46074-
,HOLLAND, MI. 49424- . (317)733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
22080
QUANTITY UNIT OF MEASUREDESCRIPTION UNIT PRICE EXTENSION
Department: 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 43-509.00
1 Each Sidewalk Trip Hazard Removal $4,164.90 $4,164.90
Sub Total $4,164.90
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Send Invoice To:
Street Department �E = �
3400 W. 131st Street
Carmel, IN 46074-
(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $4,164.90
SHIPPING INSTRUCTIONS *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
PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
_ , 1.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 /o/ ie `
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY 7 !l \v
Dave Huffman .o
44
TITLE Director
CONTROL NO. 101209 CLERK-TREASURER