51168 GIBRALTER CONSTRUCTION CORP INDIANA RETAIL TAX EXEMPT PAGE 1
CERTIFICATE NO.003120155 002 0o Carmel
PURCHASE ORDER NUMBER
Cfty FEDERAL EXCISE TAX EXEMPT 51168
35-60000972
011F.E CIVIC,SQUARE
CARMEL,RIDEAtIA LE032-2584 THIS NUMBER MUST APPEAR ON INVOICES,NP
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
4/11/2018 04/11/18 15858 7a,v West Park-The Groves Rebid Project
Gibraltar Construction Corp cc/J Administration Office
2932 N Webster Ave 1411 E. 116th Street
VENDOR Indianapolis, IN 46219 SHIP Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
$ 1.0000 each Contract Services for West Park-The Groves Rebid Project 5,558,500.000 $5,558,500.00
GLAccount#1060000-5023990
Send Invoice To:
$5,558,500.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT .
• AIP 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
▪ I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
▪ C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
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CLERK-TREASURER
DOCUMENT CONTROL NO. 51168 VENDOR COPY