101684 MKSK INDIANA RETAIL TAX EXEMPT Page 1 of 1
cit of Car el
CERTIFICATE'NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101684
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
VOUCHER,DELIVERY MEMO,PACKING SLIPS,
CARMEL; INDIANA 46032-2584 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
5/23/2018 371586 �'
MKSK Dept of Community Service
VENDOR: 462 S. LUDLOW ALLEY SHIP 1 Civic Square
TO
Carmel,:IN:46032-
COLUMBUS; OH 43215
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS ; ', FREIGHT
26168
QUANTITY :: UNIT OF MEASURE DESCRIPTION UNIT PRICE : EXTENSION
Department 1192 Fund 101 General Fund
Account.. 43-509.00 .
1- Each Land Development Planning $35,000.00 $35,000.00
Sub Total $35,000.00
•
„AM
",41
• s $�
Send Invoice To:
� r}ma � a � �
Dept of Community Service - Basic Services$32,000 pluseTask""e"$3,000 equals$35,000 total
1.Civic Square
Carmel, IN 46032- _
PLEASE INVOICE IN DUPLICATE
DEPARTMENT r :. .ACCOUNT: I : PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT :: $35,000.00
•NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
`SHIP PREPAID. AFFIDAVIT ATTACHED. I:HEREBY CERTIFY THAT THERE IS AN UNOBUGATED 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 /]7� /�
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ! j dA{"--41
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Mike Hollibaugh James Crider
TITLE Director :. .Administration
CONTROL NO. :101684 CLERK-TREASURER