101494 A & F ENGINEER CO, INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of IIairI]r]IC1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101494
ONE CIVIC SQUARE 35-6000972 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
3/14/2018 003050 Contract Date 04.04.18
A&F ENGINEER CO, LLC City Engineering's Office
VENDOR 8365 KEYSTONE CROSSING SHIP 1 Civic Square
SUITE 201 TO Carmel, IN 46032-
INDIANAPOLIS, IN 46240- Kate Lustig
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
24182
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2200 Fund: 202 Local Road &Street Fund
Account: 43-509.00
1 Each Maintain Traffic Signal Records and On-Call Services-2018 $61,630.00 $61,630.00
Sub Total $61,630.00
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Send Invoice To: x „r.. ,._. -- -,L.,....-:.-&-,,a,,,,,,_ '
City Engineering's Office
Kate Lustig �,.
1 Civic Square " ,` *`
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT w ACCOUNT 9 PROJECT PROJECT ACCOUNT 0 AMOUNT
PAYMENT $61,630.00
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
'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 ALL SHIPPING LABEL iJ C---:_
.� - �J
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 -'r' G��c_c._p`` c'�a
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY /
Jeremy Kashman James Crider (` �J
TITLE Director Administration
CONTROL NO. 1 01494 CLERK-TREASURER