HomeMy WebLinkAbout52216 ELLIS MECHANICAL INC CERTIFICATE
RETAIL TAX EXEMPT 1 PAGE 1
RTIFICATE NO.003120155 002 0
_ IPURCHASE ORDER NUMBER
c3ity Carniel FEDERAL EXCISE TAX EXEMPT .._ 52216
35.60000972 I
OUE:CNIC SQUARE' THIS NUMBER MUST APPEAR ON INVOICES,NP
CARI,iEL�"It10tANA 4e0?.Z'-2E B4 I VOUCHER,DELIVERY MEMO,PACKING SLIPS,
j SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 :_.W. .___.._.-.----.--..--.--...-__. __............._....____._J
PURCHASE ORDER DATE I DATE REQUIRED 1 REQUISITION NO. VENDOR NO. { DESCRIPTION
1/2/2019 12/10/18 18334 369349 12019 AO&Park Maint Facility HVAC PM contract
Ellis Mechanical,Inc. MCC-West
2929 Bluff Road SHIP 1235 Central Park Drive East
VENDOR Indianapolis, IN 46225 SD Carmel, IN 46032
•
CONFIRMATION 1 BLANKET I CONTRACT I PAYMENT TERMS FREIGHT
1
I
QUANTITY I UNIT OF MEASURE[ DESCRIPTION I UNIT PRICE f EXTENSION
2.000 each AO HVAC contract Spring&Fall 2019 $275.6250 $551.25
GLAccount#1125402-4350100
2.000 each Maint Facility HVAC contract Spring&Fail 2019 $275.6250 $551.25
GLAccount#1125413-4350100
Send Invoice To:
$1,102.50
PLEASE INVOICE IN DUPLICATE
T •......, DEPARTMENT�.._.._........._Lj.._.___.._...__..__......._ACCOUNT. T .... _tlPROJECT..__._......._:._.._ .......1..............__.,..PROJECT ACCOUNT .wVv... t0..-.AMOUNT
RAINIER)"
• 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 THE PROPER SWORN
SHIPPING INSTRUCTIONS AFFIDAVIT ATTACHED.
▪ I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED 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 Dawn Koepper
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER ��`
DOCUMENT CONTROL NO. 52216 VENDOR COPY ^