102221 THE RESERVE AT SPRINGMILL ity
INDIANARETAILTAXEXEMPT Page 1 of 1
� of
Iiiriiiiie]1.
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102221
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
12/5/2018 372982 Agreement for Payment of Project
THE RESERVE AT SPRINGMILL City Engineering's Office
VENDOR 5702 KIRKPATRICK WAY SHIP 1 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46220- Kate Lustig
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
31679
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2200 Fund: 202 Local Road &Street Fund
Account: 43-509.00
1 Each Agreement for Payment of Project-The Reserve at Spring $32,708.00 $32,708.00
Mill Section II
Sub Total $32,708.00
t
sl
Send Invoice To: ''' �_ �.'. . .�.��"
City Engineering's Office :,, }'
Kate Lustig `
1 Civic Square rt
Carmel, IN 46032-
. �
PLEASE INVOICE IN DUPLICATE
DEPARTMENT N ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $32,708.00
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 UN
OBLIGATED 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 I
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 �`�� �� -
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jeremy Kashman James Crider \\J)
TITLE Director Administration\r„1� \�
CLERK-TREASURER
CONTROL NO. 102221