101858 HIS CONSTRUCTORS INC INDIANA RETAIL TAX EXEMPT Page 1 of 1
ciCityof I1arIT1nIe1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
Jl FEDERAL EXCISE TAX EXEMPT 101858
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
8/9/2018 365624
HIS CONSTRUCTORS INC Redevelopment Commission
VENDOR 5150 E 65TH STREET SUITE B SHIP 30 W Main Street, Suite 220
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46220--4817 Micheal Lee (317)571-2788
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
28397
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 902 Fund: 902 Carmel Redevelopment Fund
Account: 44-608.05
1 Each Kent Site Work $900,000.00 $900,000.00
Sub Total $900,000.00
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Send Invoice To , n
Redevelopment Commission / ,`
Michael Lee ', ,,-
30 W Main Street,Suite 220 ,� -- ,.
Carmel, IN 46032- v ,. ''
(317)571-2788 PLEASE INVOICE IN DUPLICATE
r DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $900,000.00
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 h
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 '� .
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Henry Mestetsky '\-6,\"Ni
TITLE
CONTROL NO. 101858 CLERK-TREASURER V