101672 AMERICAN STRUCTURE POINT, INC INDIANA RETAIL TAX EXEMPT 1 Page 1
of 9
City of Carmel
CERTIFICATENO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 01 672
35-6000972
ONE CIVIC SQUARE" THIS NUMBER MUST APPEAR ON INVOICES,NP
CARMEL INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS, \\CL
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY Y STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL_1997
PURCHASE ORDER DATE DATE REQUIRED
REQUISITION NO. VENDOR NO. DESCRIPTION .
5/18/2018 00350562, Project 18=18;Contract Date 04.06.1 6
AMERICAN STRUCTURE POINT,INC City Engineering's°Office -
VENDOR 7260 SHADELAND STATION :SHIP 1 Civic Square
TO Carmel, IN.46032-::.
INDIANAPOLIS, IN 46256--3957 Kate Lusti
9
PURCHASE ID BLANKET CONTRACT
PAYMENT TERMS: : 'FREIGHT
26016
QUANTITY .. UNIT.OF MEASURE' .' : . : : DESCRIPTION UNIT PRICE EXTENSION
Department 2200 Fund 2200 Motor Vehicle Highwa
Account:. 43-401.00
1 Each" . ASA 35-Traffic Impact Study of 96th Street and Springmill . $122,100.00 :: - $122,100.00
Road Development
Sub Total:
122,100.00
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1 ereihr,PY 44,1 .4
Send Invoice To: '1 22 '* /
City Engineering's Office .
Kate Lustig
1 Civic Square =
Carmel,IN 46032- 444 rtAV
PLEASE INVOICE IN DUPLICATE
DEPARTMENT . . I. .. ACCOUNT PROJECT :PROJECT ACCOUNT AMOUNT
PAYMENT $122,100.00
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 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
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY
Jeremy Kashman " • James Crider
TITLE : • Director .- I:. Administration
CONTROL NO. .101672 CLERK-TREASURER