102415 HOYNE CAPITAL PARTNERS LLC INDIANA RETAIL TAX EXEMPT Page 1 of 1
Chitof Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102415
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
12/14/2018 373008 Project 16-ENG-45;116th and AAA Way Land Acq
HOYNE CAPITAL PARTNERS LLC City Engineering's Office
VENDOR 1767 N HOYNE STREET SHIP 1 Civic-Square
TO Carmel,IN 46032-
CHICAGO,IL 60647 - Kate Lustig
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
32234
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2200 Fund: 202 Local Road &Street.Fund
Account: 43-509:00
1 Each Land Acquisition $7,700.00 $7,700.00
Sub Total $7,700.00
SCANNED
DEC 1 8 2018
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Send Invoice To:
City Engineering's Office
Kate Lustig .
1 Civic Square . 1
Carmel, IN 46032- `....,
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $7,700.00
SHIPPING INSTRUCTIONS AQP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. 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 L�(� -
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 —'� ��—��'1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY / �r
Jeremy Kashman James Crider
TITLE Director Administratio A.)
CONTROL NO. 102415 CLERK-TREASURER