102723 GSB, INC. INDIANA RETAIL TAX EXEMPT Page 1 of 1
ci .City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 102723
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AR
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
3/13/2019 371826
GSB, INC. Redevelopment Commission
VENDOR 3555 NW 58TH STREET SHIP 30 W Main Street,Suite 220
SUITE 700W TO Carmel, IN 46032-
OKLAHOMA CITY,OK 73112- Micheal Lee (317)571-2788
PURCHASE ID I BLANKET I CONTRACT PAYMENT TERMS FREIGHT
34578
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 902 Fund: 902 Carmel Redevelopment Fund
Account: 43-402.00
1 Each Acoustic and theater design sub-contract for Feinstein Club $74,500.00 $74,500.00
1 Each Additional design for redesign of kitchen and dining room $50,439.00 $50,439.00
1 Each Exterior envelope modifications $18,056.00 $18,056.00
1 Each Exterior lighting design $3,500.00 $3,500.00
1 Each Preparation of early bid packages for foundation,steel and $15,900.00 $15,900.00
superstructure
1 Each Redesign of lower level garage entry $14,894.00 $14,894.00
1 Each Request for alternate bid for granite and limestone on $14,944.00 $14,944.00
exterior base
1 Each Revisions to interior design of the hotels' public spaces $32,176.00 $32,176.00
1 Each Service court area/loading dock improvements $57,551.00 $57,551.00
Sub Total $281,960.00
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Send Invoice To: Z
Redevelopment Commission
Michael Lee
�30 W Main Street,Suite 220
Carmel, IN 46032-
(317)571-2788 PLEASE INVOICE IN DUPLICATE
L DEPARTMENT ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $281,960.00
SHIPPING INSTRUCTIONS *AIP 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 /� _
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ��- �� ""'" ____ � a'r�� �f
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Henry Mestetsky Henry Mestetsky
TITLE — /k.
CONTROL NO. 102723 CLERK-TREASURER