102227 MILESTONE CONTRCTORS, L P v INDIANA RETAIL TAX EXEMPT Page 1 of 1
cii.1tC lty ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 02227
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
12/5/2018 204045 Paving Change Order
MILESTONE CONTRACTORS, L P Street Department
VENDOR PO BOX 933030 SHIP 3400 W. 131st Street
TO Carmel, IN 46074-
CLEVELAND, OH 44193- (317)'733-2001
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
31690
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2201 Fund: 2201 Motor Vehicle Highway FND
Account: 43-509.00
1 Each Contracted Street.Repaving $855.80 _ $855.80
Sub Total $855.80
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Send Invoice To:
Street Department
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3400 W. 131st Street '° . ;
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Carmel, IN 46074- _ T
(317)733-2001 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $855.80
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. 11�
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL /' ` l
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ����J/e/ Q!�,y� \"`�"\vvv
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY `vll
Dave Huffman
TITLE Director `
CONTROL NO. 102227 CLERK-TREASURER