102279 NELSON/NYGAARD CONSULTING ASSOC INDIANA RETAIL TAX EXEMPT Page 1 of 1
Cit3T ®- Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102279
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
12/7/2018 372988
NELSON/NYGAARD CONSULTING ASSOC INC Dept of Community Service
VENDOR 116 NEW MONTGOMERY ST SHIP 1 Civic Square
SUITE 500. TO Carmel, IN 46032-
SAN FRANCISCO,CA 94105-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
31830
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 43-404.00
1 Each Transit Plan $63,000.00 $63,000.00
Sub Total $63,000.00
Account: 43-419.99
1 Each Transit Plan $19,306.25 $19,306.25
Sub Total
$19,306.25
Account: 43-509.00
1 Each Transit Plan $27,828.75 $27,828.75
Sub Total $27,828.75
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Send Invoice To:
Dept of Community Service
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $110,135.00
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 APPEARALL SHIPPING LABEL 79o/ s x/
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY \(��J
Mike Hollibaugh James Crider k(
TITLE Director Administration
CONTROL NO. 102279 CLERK-TREASURER V