24410 L'Acquis Consulting Engineers f� INDIANA RETAIL TAX EXEMPT PAGE .\-. -� \
C o C°�rmel CERTIFICATE NO.003120155 002 0
of lL+s 1i PURCHASE ORDER •MBER
FEDERAL EXCISE TAX EXEMPT 24410
35-60000972
ONE CIVIC SQUARE 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
11127/2012 ��
L'Acquis Consulting Engineers Carmel Fire Department
SHIP 2 Civic Square
VENDOR TO
9229 Delgates Row South Carmel, IN 46032
Indianapolis, IN 46240 (317)5712622
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
NN
QUANTITY UNI F MEASU DESCRIPTION UNIT PRICE EXTENSION
Account 43-601.00
1 Each Generator Engineering Fees $10,500.00
$10,500.00
Sub Total: $10,500.00
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Send Invoice To: UU VV
Carmel Fire Department
2 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Fire Department PAYMENT $10,500.00
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS T.• PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CER 'THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP i�.':��_..,.=CIENT TO PAY F%HE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELU. by; "....„.,...%
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
24 410 CLERK-TREASURER
DOCUMENT CONTROL NO. VENDOR COPY