HomeMy WebLinkAbout41582 ELLIS MECHANICAL, INC. TAX
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o f a ►mel PURCHASE ORDER NUMBER
City .✓J// Rii. ``�\..•�� FEDERAL EXCISE TAX IXEIYIPT 41582
35.60000972
ONE CMC SQI ASP
CARMEL. 14:NANA 4!3:24.5St THIS NUMBER MUST APPEAR ON INVOICES.MP
VOUCHER,CELIVERY MEMO,PACICNOO40 BLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 IABELSANDA11Y D
PURCHASE ORDER DATE DATE REQUIRED REQUISFON NO. VENDOR NO. DESCRIPTION
5/182017 05/23/17 12676 369349 2017-2019 Preventative Maintenance Program
Ellis Mechanical,Inc. Parks Maintenance
2929 Bluff Road 1427 E. 116th Street ATTN:Courtney
VENDOR Indianapolis, IN 46225 TOP Carmel,IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE I DESCRIPTION I UNIT PRICE I EXTENSION
7.000 each 6/1/17-3/14/19-Quarterly PM Agreement for CP West $100.0000 $700.00
Commons Playground&Splash Park
GLAccount#1125404-4350100
Send Invoice To:
$700.00
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT ' PROJECT ACCOUNT AMOUNT
PAYMENT
AIP VOUCHER CANNOT BE APPROVED FOR PAYMElT UNLESS THE P.O.NUMBER W MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS TIE PROPER SWORN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
I HEREBY CERTIFY THAT THERE WAN UNOBLWATED BALANCE IN THIS APPROPRIATION
• SHP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER SS,ACTS 1545
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER T\
DOCUMENT CONTROL NO. 41582 VENDkir.COPY l \�\