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101988 SMOCK FANSLER CORP INDIANA L EXEMPT Page 1 of 1 cii ityof Itriiirie1 CERTIFICA EENOI 00310155 0020 PURCHASE ORDER NUMBER / FEDERAL EXCISE TAX EXEMPT 101988 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 10/8/2018 00350511 SMOCK FANSLER CORP Redevelopment Commission VENDOR 2910 W MINNESOTA ST SHIP 30 W Main Street,Suite 220 TO Carmel, IN 46032- INDIANAPOLIS, IN 46241 - Micheal Lee (317)571-2788 PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 29918 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 902 Fund: 902 Carmel Redevelopment Fund Account: 44-608.05 1 Each Baldwin Chambers Site Work $147,300.00 $147,300.00 Sub Total $147,300.00 "tea ,"` 1 a t ' om ',3 r. 3 Send Invoice To: \ . ' ' 4 }3 ')-(` Redevelopment Commission "- 4- Michael Lee 30 W Main Street,Suite 220 Carmel, IN 46032- (317)571-2788 PLEASE INVOICE IN DUPLICATE DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT PAYMENT $147,300.00 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 '.1Y ",ii./ ---- RL.—.. AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY r Henry Mestetsky Henry Mestetsky / \ TITLE CONTROL NO. 101988 CLERK-TREASURER `�\