HomeMy WebLinkAbout53696 ELLIS MECHANICAL yy INDIANA RETAIL TAX EXEMPT PAGE 1
C � I -� `arnie CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
(~!
.A. '} FEDERAL EXCISE TAX EXEMPT 53696
35-60000972
OWE CIVIC SQUARE
CAMEL,IIIDEANA ` 032-2{34. 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
10/22/2019 10/06/19 21572 369349 Service Call for Plumbing Repair at West Park
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 leaking water valve $653.610 $653.61
GLAccount#1125419-4350100
Send Invoice To:
$653.61
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 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 Neil Whitehead
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF ANDSUPPLEMENT THERETO. TITLE
CLERK-TREASURER
DOCUMENT CONTROL NO. 53696 VENDOR COPY