HomeMy WebLinkAbout52366 ELLIS MECHANICAL INC tY Of Caei
INDIANA RETAIL TAX EXEMPT PAGE 1
:', '
�-., CERTIFICATE N0.003120155 002 0
s � PURCHASE ORDER NUMBER
w' •- FEDERAL EXCISE TAX EXEMPT 52366
35-60000972
ONE C1JlC SQUARE
CARMEL,IHLD€J€A 4SC32-2ES4 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
1/23/2019 12/26/18 18483 369349 Service Call-Monon Tunnel lights at Rotary Plaza
Ellis Mechanical, Inc. Parks Maintenance
2929 Bluff Road 1427 E. 116th Street ATTN: Courtney
VENDOR Indianapolis, IN 46225 SHIP Carmel, IN 46032
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
1.000 each Labor and material to repair and install LED lamps in tunnel $ 1,752.5800 $ 1,752.58
GLAccount#1125416-4350400
Send Invoice To:
$1,752.58
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT I 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 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 Michael Allen
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
\\.s.Z.21
CLERK-TREASURER \�
DOCUMENT CONTROL NO. 52366 VENDOR COPY �' <1.s.