102281 UNITED STATES GEOLOGICAL SURVEY INDIANA RETAIL TAX EXEMPT Page 1 of 1
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�� ® cIIairrinie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102281
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
12/1012018 364992 Williams Creek Streamgage 2019-2020
UNITED STATES GEOLOGICAL SURVEY City Engineering's Office
VENDOR BOX 71362 SHIP 1 Civic Square
TO Carmel, IN 46032-
PHILADELPHIA, PA 19176--1362 Kate Lustig
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
31840
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2200 Fund: 211 CUM Cap Development
Account: 44-628.38
1 Each Maintenance of Streamflow Gaging Station $4,500.00 $4,500.00
Sub Total $4,500.00
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Send Invoice To: , m � :
City Engineering's Office q 'y
Kate Lustig "
1 Civic Square ';:';-;::::'77;7.::::-A
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT 1PROJECT ACCOUNT I AMOUNT
$4,500.00
PAYMENT
SHIPPING INSTRUCTIONS *AQP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PA. NUMBER IS MADE A
PART OFU 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
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 . ,.c.,,..--- .\4\\
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jeremy Kashman
TITLE Director
CONTROL NO. 102281 CLERK-TREASURER