102416 MERCHANTS POINTE ASSOC LLC INDIANA RETAIL TAX EXEMPT Page 1 of 1
City ®f Iariinie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102416
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 373007 Project 16-ENG-45; 116th and AAA Way
MERCHANTS POINTE ASSOC LLC City Engineering's Office
VENDOR 2325 POINTE PARKWAY SHIP 1 Civic Square
SUITE 150 TO Carmel, IN 46032-
CARMEL, IN 46032- Kate Lustig
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
32237
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2200 Fund: 202 Local Road &Street Fund
Account: 43-509.00
1 Each Land Acquisition $90,800.00 $90,800.00
Sub Total $90,800.00
SCANNED
DEC 1 8 2018
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Send Invoice To:
City Engineering's Office °.x
Kate Lustig
1 Civic Square \
Carmel, IN 46032- ,'� ,.
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $90,800.00
SHIPPING INSTRUCTIONS 'A/P 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.
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL /� �D ��
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 Y �� `-v�- /et
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY �`
Jeremy Kashman James Crider \\
TITLE Director Administration ��\
CONTROL NO. 102416 CLERK-TREASURER � \