103195 NELSON/NYGAARD CONSULTING ASSOC INDIANA RETAIL TAX EXEMPT Page 1 of 1
Chitof Cairrrie1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 103195
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
10/29/2019 372988 Additional services for transit services in Carmel
NELSON/NYGAARD CONSULTING ASSOC INC Dept of Community Service
VENDOR 410 N MICHIGAN AVE SHIP 1 Civic Square
SUITE 1600 TO Carmel, IN 46032-
CHICAGO,IL 60611 -
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
41022
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1192 Fund: 101 General Fund
Account: 43-400.00
1 Each Transit Plan $20,000.00 $20,000.00
Sub Total $20,000.00
Account: 43-419.99..
1 Each Transit Plan $13,530.00 $13,530.00
Sub Total
$13,530.00
5 r�
Send Invoice To:
Dept of Community Service
1 Civic Square
Carmel,IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT I AMOUNT
PAYMENT $33,530.00
SHIPPING INSTRUCTIONS 'AN 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 ALL SHIPPING LABEL
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 \
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Mike Hollibaugh James Cride
TITLE Director Administrati *\
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CONTROL NO. 103195 CLERK-TREASURER �v