HomeMy WebLinkAbout50012 ELIS MECHANICAL, INC. City
INDIANA RETAIL TAX EXEMPT I P PAGE 1
of a melCERTIFICATE NO.CISE T X E ERs0020PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 50012
35-60000972
OM CNC SCUI+.R° —
C.RUEL,riC10,1144'1112-26e4 I AR
THIS NUMBER MUST APPEONINVOICES,NP
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
6127/2017 06/05/17 12823 369349 Service Call on Back Flows
Ellis Mechanical,Inc. MCC-West
2929 Bluff Road 1235 Central Park Drive East
SHIP
VENDOR Indianapolis,IN 46225 TO Carmel,IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE I DESCRIPTION I UNIT PRICE I EXTENSION
1.000 each Labor and Material to rebuild kits for both back flows and $3,935.2200 $3,935.22
replace relief valve
GLAccount#1125300-4350000
Send Invoice To: /
$3,935.22'✓
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT I AMOUNT
PAYMENT
MP 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
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION
• SHIP REPAD. SUFFICIENT TO PAY FOR THE MOVE ORDER.
. C.O.D SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. ORDERED BY Eric Mehl
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 50012 V.NDOR COPY