HomeMy WebLinkAbout52280 ELLIS MECHANICAL INC ,I PAGE 1
City of..CarmeiC PURCHASE ORDER NUMBER
INDIANA RETAIL TAX EXEMPT
ERTIFICATE NO 003120155 002 0
FEDERAL EXCISE TAX EXEMPT j 52280
35-60000972
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ONECIVIC SQUARE __.�.. te ._..._.. i€
CARMEL.Ilf3141}A 46032-2E8 I THISVOUNUMBER
MUS Y MEFMAR O,ON KING CE PS,P
3 ' SL
I SHIPPING LABELS AND ANY CORRESPONDENCE.
j FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 _. ...._.._..:.._...._......
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. t VENDOR NO.
3DESCRIPTION
1/2/2019 12/05/18 118280 369349 1Service Call-Emergency repair to North Trailhead backflow
Ellis Mechanical,Inc. Parks Maintenance
2929 Bluff Road 1427 E. 116th Street ATTN:Courtney
SHIP
VENDOR Indianapolis,IN 46225 TO Carmel,IN 46032
CONFIRMATION BLANKET CONTRACT [ PAYMENT TERMSI FREIGHT
QUANTITY UNIT OF MEASURE s DESCRIPTION 7 UNIT PRICE 1, EXTENSION .
1.000 each Labor and material to install new backflow at North Trailhead $2,704.9700 $2,704.97
GLAccount#1125416-4350100
Send Invoice To:
$2,704.97
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT- - 1 PROJECT I PROJECT ACCOUNT - j AMOUNT
PAYMENT.
• A!P 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 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 AU.SHIPPING LABELS. ORDERED BY Courtney Weintraut
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 52280 VENDOR COPY A