101671 RQAW CORPORATION IN
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�Chit of cIInrinrie1 CERTDIIFICA EENO00310150020 PURCHASE ORDER'NUMBER
/ /( FEDERAL EXCISE TAX EXEMPT 101671
000!!!ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
5/18/2018 00350023 Project 15-18; INDOT-LPA Consulting Contract-CE(Funding
Source Rev.051818)
RQAW CORPORATION City Engineering's Office
VENDOR 4755 KINGSWAY DR#400 SHIP 1 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46205--1547 Kate Lustig
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
25997
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2200 Fund: 202 Local Road &Street Fund
Account: 43-401.00
1 Each INDOT LPA Consulting Contract-Des.1500444 Carmel Drive $160,667.20 $160,667.20
and Old Meridian -Construction Inspection
Sub Total $160,667.20
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Send Invoice To: , ,
City Engineering's Office
Kate Lustig mfµ
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1 Civic Square th
Carmel, IN 46032- Mh t
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $160,667.20
SHIPPING INSTRUCTIONS *NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
'SHIP PREPAID. 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
*C.O.D.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 �`'--c-- c"`”
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY /�
Jeremy Kashman James Crider a`'0
TITLE Director Administration „,3\-.0\
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CONTROL NO. 101671 CLERK-TREASURER