30478 USI Consultants r ,r�y�E INDIANA RETAIL TAX EXEMPT PAGE
City Carmel CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 30478
35- 60000972
ONE CIVIC SOUA.RE THIS NUMBER MUST APPEAR ON INVOICES. AP
CARMEL, INDIANA 46032 -2564 VOUCHER. DELIVERY MEMO. PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOAP.D OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO, VENDOR NO. DESCRIPTION
02/20/12 MOU Shared expenses for Feasibility Study
USI Consultants MCC TR V T3 Tr
8415 E. 56th Street, Suite A M
SHIP
VENDOR i RI
Indianapolis, IN 46216 To MAR 2 9 2012
BY;
cou= IRMATION BLANKET CONTRACTI PAYMENT TERMS I FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
Shared expenses for feasibility study regarding $19,800.00 $19,800.00
pedestrian bride over White River connecting Hazel
Landing Park to Fisher Heritage Park
*Upon completion to,bill Town of- Fishers. for
reimbursement of $9,900:00 Of-
f expenses
1
li
1 r
Send Invoice To
$19,800.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 1 ACCOUNT PROJECT 1 PROJECT ACCOUNT 1 AMOUNT
106 5023990 -Other Expenses PAYMENT
AT VOUCHER CANNOT BE APPROVLD FOR PAYIAENT UNLESS THE P.O
NUMBER IS MADE A PART OF THE VJUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWOP! AFFIDAVIT ATTACHED
SHIPPING INSTRUCTIONS i HEREBY CERTIFY THAT THERE ISSN UNDBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT p PAY FOR THE ABOVE ORDER,
SHIP REPAID.
•C.0.0. SHIPMENTS CANNOT BE ACCEFTED. ORDERED BY Dawn Koepper_ L 31 xt)i
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS
THIS OHOEF ISSUED IN COMPLIANCE WITH CHAPTER 99 ACTS ;945 TITLE 3 LS I1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
30478 CLERK TREASURER
DOCUMENT CONTROL NO. VENDOR COPY