31198August Mack Environmental, Inc.Ci of Carmel
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
PAG E
PURCHASE ORDER NUMBER
31198
THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO. PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE,
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
08/24/12
N/A
Environmental Testing - Meeting House
August Mack Environmental, Inc.
1302 N. Meridian Street, Suite 300
VENDOR Indianapolis, IN 46202
SHIP
TO
AO
AUG 242012
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE
DESCRIPTION
UNIT PRICE
EXTENSION
EA Environmental Survey to check for the following
(Asbestos, Mold, and Lead) at 1507 E. 116th Street,
Carmel, IN (Meeting House) for Feasibility Study.
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
$2,600.00 $2,600.00
$2,600.00
DEPARTMENT
ACCOUNT
PROJECT
PROJECT ACCOUNT
AMOUNT
1125-1-15-4341999-Other Professional Services
SHIPPING INSTRUCTIONS
• SHIP REPAID.
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER. ISSUED IN COMPLIANCE WITH CHAPTER 99. ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
31198
DOCUMENT CONTROL NO.
ORDERED BY
TITLE
CLERK- TREASURER
PAYMENT
• 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) AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THERE IS /N UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT 10 PAY FOR THE ABOVE ORDER.
el Klitzing - DK
VENDOR COPY