101739 BRANDT CONSTRUCTION INC CityIa:irrinie1
INDIANA RETAIL TAX EXEMPT Page 1 of 1
ofCERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101739
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
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
6/15/2018 372119
BRANDT CONSTRUCTION INC Redevelopment Commission
VENDOR 330 EAST ST.JOSEPH STREET SHIP 30 W Main Street,Suite 220
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46202- Micheal Lee (317)571-2788
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
26738
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 902 Fund: 902 Carmel Redevelopment Fund
Account: 44-608.07
1 Each Additional change orders $33,402.00 $33,402.00
Sub Total $33,402.00
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Send Invoice To: �; _.
Redevelopment Commission .;,
Michael Lee �` 'P
30 W Main Street,Suite 220
Carmel, IN 46032-
—
(317)571-2788 PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $33,402.00
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 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 S' ,A/[f.-
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY \\zs\ 1/4rLK)
Henry Mestetsky
TITLE
CONTROL NO. 101739 CLERK-TREASURER R