HomeMy WebLinkAbout50097 ELLIS MECHANICAL INC •/ INDIANA RETAIL TAX EXEMPT I AGE 1
City �� �����1Ij CERTIFICATE NO.9Q3120155 002 O
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 50097
35-60000972
ONE CMC MINI-R.!
CARIJE'. 31:1.6IIA42{C.....-a.N THIS NUMBER MUST APPEAR ON INVOICES.NP
VOUCHER,DELIVERY MEMO,PACKING SUPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISmON NO. VENDOR NO. DESCRIPTION
7/20/2017 07/25/17 13396 369349 Piping Insulation
Ellis Mechanical,Inc. MCC-West
2929 Bluff Road 1235 Central Park Drive East
VENDOR Indianapolis,IN 46225 7o P Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION I UNIT PRICE I EXTENSION
1.000 each Insulation for Piping at Inlow $904.3500 $904.35
GLAccount#1125300-4350000
Send Invoice To:
$904.35
PLEASE INVOICE IN DUPLICATE
DEPARTMENT I ACCOUNT I PROJECT I PROJECT ACCOUNT 1 AMOUNT
PAYMENT
AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.NUMBER 19 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 UNOBUGATED BALANCE IN THIS APPROPRIATION
• SHIP 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 Eric Mehl
• THIS ORDER ISSUED NN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 50097 VENDOR COPY '(\4\,.
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