101501 SMOCK FANSLER CORP v INDIANA RETAIL TAX EXEMPT Page 1 of 1
ci:iIt'' of Cirmel CERTIFICATE NO.003120155 0020 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101501
/ ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
3/15/2018 00350511
SMOCK FANSLER CORP Redevelopment Commission
VENDOR 2910 W MINNESOTA ST SHIP 30 W Main Street,Suite 220
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46241 - Micheal Lee (317)571-2788
PURCHASE ID I BLANKET CONTRACT I PAYMENT TERMS FREIGHT
24219
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 902 Fund: 902 Carmel Redevelopment Fund
Account: 44-608.05
1 Each City Center Phase II site work retainage $155,148.75 $155,148.75
Sub Total $155,148.75
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Send Invoice To: ; '.. ` - '' '
Redevelopment Commission 4 Y .; '
Michael Lee
30 W Main Street,Suite 220
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Carmel,IN 46032- -
(317)571-2788 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $155,148.75
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 ON ALL SHIPPING LABE ppp��'
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194 ,
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY •J t
Henry Mestetsky
TITLE
CONTROL NO. 101501 CLERK-TREASURER A',,